In order to participate in this putative class action, please (a) fill out all information requested below, (b) read all statements herein pertaining the lawsuit, specifically the statements contained in the ‘Hydroxycut Retention Agreement’, (c) click both checkboxes at the bottom of the form after reading, understanding and agreeing to the statements beside such checkboxes and (d) press the ‘submit’ button.
All bold fields are required!