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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Email*
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Address
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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
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Place	Date	Points

Place	Date	Points

Place	Date	Points

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