ECL Privacy Breach Litigation - Nominee Contact Information

Please provide the Unique ID provided in the Email Notice that you received.*

First Name:*

Middle Initial:

Last Name:*

Country:*

Address Line 1:*

Address Line 2:

Address Line 3:

Address Line 4:

Address Line 5:

City:*

State:*

Province:*

ZIP Code:*

Postal Code:*

Phone Number:

Email Address:*

Under penalty of perjury, I hereby certify that the foregoing information supplied by me is true, correct and complete to the best of my knowledge.*

Address Update Form