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Request for Exclusion From the Settlement Class
Keurig Dr Pepper Inc.

COMPLETE THIS FORM IF YOU WISH TO RETAIN THE RIGHT TO SUE KEURIG DR PEPPER INC. SEPARATELY FOR THE CLAIMS RELEASED BY THE SETTLEMENT. DO NOT COMPLETE THIS FORM IF YOU WANT TO RECEIVE BENEFITS AVAILABLE UNDER THE SETTLEMENT.

BY COMPLETING THIS FORM, YOU WILL EXCLUDE YOURSELF FROM THE SETTLEMENT CLASS AND RETAIN THE RIGHT TO SUE KEURIG DR PEPPER, INC. SEPARATELY FOR THE CLAIMS RELEASED BY THE SETTLEMENT. IF YOU EXCLUDE YOURSELF, YOU CANNOT FILE A CLAIM OR OBJECT TO THE SETTLEMENT.

TO BE EXCLUDED FROM THE SETTLEMENT CLASS, THIS OPT-OUT FORM MUST BE COMPLETED AND SUBMITTED ONLINE NO LATER THAN 11:59 P.M. PACIFIC TIME ON MARCH 19, 2019.

I/WE REQUEST TO OPT-OUT FROM THE SETTLEMENT CLASS IN THE 49-STATE CANADA DRY ACTION
I/WE REQUEST TO OPT-OUT FROM THE SETTLEMENT CLASS IN THE CALIFORNIA CANADA DRY ACTION

OPT OUT SIGNATURE




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Important Dates

  • Exclusion Deadline

    Tuesday, March 19, 2019 You must complete and mail your request for exclusion form so that it is received no later than Tuesday, March 19, 2019.
  • Objection Deadline

    Tuesday, March 19, 2019 You must mail your objection(s) and/or notice of intent to appear at the Final Approval Hearing so that it/they are received no later than Tuesday, March 19, 2019.
  • Claim Form Deadline

    Tuesday, March 19, 2019 You must submit your Claim Form on-line no later than Tuesday, March 19, 2019, or mail your completed paper Claim Form so that it is received no later than Tuesday, March 19, 2019.

Important Documents

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