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I would like a cash payment or other benefits from the American Express Gift Card Settlement.

You must fill out the Claim Form completely-one form for each Gift Card-and submit it no later than midnight November 16, 2015. Read the Notice regarding eligibility, payment amounts and timing. All claims are subject to verification.

1. Information about you:

* Items marked with an (*) are required. If the required information is not provided, your claim(s) may not be processed.

Please complete the following.

First Name:*  
Middle Initial:
Last Name:*  
Street Address:*  
Apt. #, P. O. Box, or
Room/Dorm:
City:*  
State:*  
Zip Code:*

Note: Cookies must be enabled in order to submit a claim

Disclaimer

Please do not contact the Court or American Express directly about this lawsuit for information or advice.
This site is not operated by American Express. This settlement is supervised by the Court and is administered by a claims administration firm that handles all aspects of claims processing. The Settlement Administrator is independent of American Express, and therefore American Express will not respond to questions from the Class regarding claims or settlement administration.

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