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Intake Form Jehovah's Witnesses
Woods LLP invites you to complete the form below in order to be included in our internal bank of members of this class action.
Name
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First Name
Last Name
Email
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Enter your email address
Confirm your email address
Address
Civic number, street
City
Province
Postal Code
Contact phone number
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Occupation
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Date of Birth
Date Format: MM slash DD slash YYYY
Please provide a brief summary of the abuse that you have suffered.
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If you do not feel comfortable sharing this information at this time, please let us know below.
Please describe the location(s) of the offences.
i.e. place, city and province.
Please specify the date or dates of the offences.
If you do not know the exact date or moment in time, please provide an estimate of the period at issue.
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
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