Intake form Intrawest

Woods LLP invites you to complete the form below in order to be included in our internal bank of members of this class action.
Please note that if you fall within the definition of one of the groups in the authorization judgment of February 27, 2019, you automatically form part of the class action, without having to register. You will have the possibility to opt-out from the class action. All information provided in this form will be protected by solicitor-client privilege and litigation privilege. We also undertake to preserve your anonymity unless you clearly indicate that you do not wish for us to do so.
Name*
First Name Last Name
Email*
Enter your email address Confirm your email address
Address
Civic number, street City Province Postal Code Country
Contact phone number
Domicile
Téléphone
Cellphone
Intrawest/Embarc/Diamond Membership Number
Number
For each purchase of points, please indicate the location of purchase, the date and the number of points acquired
Purchase 1
Place Date Points
Purchase 2, if applicable
Place Date Points
Purchase 3, if applicable
Place Date Points
Have you disposed of your points prior to or in 2007?*
- Yes
- No
If yes, please indicate the date
Date
Have you disposed of your points after 2007?*
- Yes
- No
Did you conclude an agreement with Intrawest/Embarc/Diamond to relinquish your points through the Transitions program, or other program?*
- Yes
- No
If yes, please indicate the date of the agreement
Date
Please indicate any additional information about your situation
Do you consent and agree to receive from us, Woods LLP, emails and/or any other form of electronic messages for any purposes related to this legal matter and to receive any information regarding further legal and related services we may offer?
- I do consent and agree to the above statement
If you do NOT agree with the above statement, please contact Woods LLP at: unsubscribe@woods.qc.ca

Place	Date	Points

Place	Date	Points

Place	Date	Points

Intake form Intrawest

Woods LLP invites you to complete the form below in order to be included in our internal bank of members of this class action.

For each purchase of points, please indicate the location of purchase, the date and the number of points acquired

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