Opt In

If you are a ‘Publisher Partner’ that resells online display ads on behalf of UK-domiciled publishers, you must fill in your details to opt in to the collective proceedings.

Opt In

Fill in your details below:

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First Name*

Last Name*

Company Name

Company Number

Address of business (or individual if not a business)*

Town*

Country

Postal Code*

Telephone Number

Email Address*

Signature*

I believe that I am/my business is a member of the “Publisher Partner” opt-in class in the collective proceedings before the UK’s Competition Appeal Tribunal: Ad Tech Collective Action LLP v (1) Alphabet Inc; (2) Google LLC; (3) Google Ireland limited; and (4) Google UK Limited (Claim Nos 1572/7/7/22 and 1582/7/7/23). I/my business wish/wishes to opt in to (i.e. be included in) these proceedings.

I confirm that the information provided above is true and correct to the best of my knowledge.

Signature*

If you are under 18 years of age you will need to get your parent/guardian to sign this form on your behalf.

I agree that my electronic signature on this form is the equivalent of my handwritten signature. I further agree that my electronic signature on this form is as valid as my handwritten signature. I hereby confirm that the electronic signature has been produced with my consent.

I confirm I am over the age of 18I am opting in on behalf of the named individual as their parent/guardian

Date:

* Denotes a Required Field.