Bell Mobility Relevant Advertising Program Class Action

Opt Out Kiosk

If you wish to be excluded from this class action lawsuit and not be bound by any order made in the action, you must complete an opt out form and upload it to the kiosk by October 30, 2020. A fillable copy of the opt out form is available under the Documents tab.

Instructions: Please complete the fields manually or electronically. Electronic signatures will not be accepted – Opt out forms must be printed and signed manually. To upload your opt out form to the kiosk, please scan or take a legible photo on your phone or other device.

Please note you have the option to fax your opt out form to 866-761-1374 by October 30, 2020.

CLAIMANT INFORMATION

First Name

Last Name

Address 1

Address 2

City

Province

Postal Code

Telephone Number

Upload Your Opt Out Form

Click the "Browse" or “Choose File” button and select the relevant file from your computer. The selected file will be uploaded when the "Agree and Submit" button is clicked.

CERTIFICATION I Agree

After clicking the “Agree and Submit” button you will receive an email confirming receipt of your Opt Out form.

Required