PVC - End User Class Settlement Notice Registration Form

Use this form to register to receive updates regarding the progress of the litigation, the Settlement, and any resolution of claims against the Non-Settling Defendants.

THIS REGISTRATION FORM MUST BE SUBMITTED ONLINE AND MUST BE FULLY COMPLETED AND SIGNED

Company Name

First NameMissing or incorrect value

Middle Initial

Last NameMissing or incorrect value

AddressMissing or incorrect value

Address 2

CityMissing or incorrect value

State Missing or incorrect value

Zip CodeMissing or incorrect value

Point of contact Email AddressMissing or incorrect value

Contact Phone Number

SignatureRequired Field

Signature Date