Claim Form

To receive your portion of the settlement funds, you must submit this Claim Form no later than February 18, 2021.

Claimant Information

First Name

Last Name

Primary Address

Primary Address Continued

City

State

Zip

Country

Email Address

Contact Phone Number

Purchase Information

Check the box in front of each Product claimed then indicate the quantity of each Product you purchased from November 16, 2013 through October 23, 2020, the retailer each Product was purchased from, and the location of that retailer.

Stonefire Original Naan

Stonefire Roasted Garlic Naan

Stonefire Whole Grain Naan

Stonefire Organic Original Naan

Stonefire Original Mini Naan

Stonefire Ancient Grain Mini Naan

Stonefire Naan Dippers

Other Pre-Packaged Naan Product represented to be baked in a tandoor oven and purchased in a grocery, warehouse, or club store.

Proof of Purchase (if applicable)

Proof of Purchase is required if quantity is greater than 5 or if more than 5 products are selected

Check this box if you want to upload one or more receipts illustrating the number of Products purchased, the cost of each Product, the date of purchase and the location of purchase.

Payment Options

Select the box of how you would like to receive your payment.

Check via mail

PayPal

Zelle

Amazon

Security

To protect the web site's security, please check the box below.

Attestation Under Penalty of Perjury:

I declare under penalty of perjury that I purchased the Products as reflected in the table above from November 16, 2013 through October 23, 2020 and that all of the information on this Claim Form is true and correct to the best of my knowledge.

Required

Friend v FGF Brands

Claim Form