ODR April Voucher

	Dear <%=salutation%> <%=firstName%> <%=lastName%>,
	This voucher can only be used once per case and must be postmarked by April 30, 2004. Please mail this voucher form to the following address. Allow 3-4 weeks for processing. SquareTrade ODR Services ATTN: Dispute Resolution Voucher Program 575 Market Street 10th Floor San Francisco; CA 94105 SquareTrade Dispute Resolution $10 Voucher Your Information: Last Name: ____________________________ First Name: ____________________________ Email Address: _____________________________________ Home Address: ____________________________________ Home Address 2: ___________________________________ City: _________________________________ State: ______ Zip: _______________________ Home Phone: ____________________________ Business Phone: ______________________ Your eBay Information Your eBay UserID: __________________ Case Information Case ID: ____________________________________________________________________ eBay Item#: _________________________________________________________________ Other Party eBay ID: ___________________________________________________________ Date of transaction: _________________________ Amount: ___________________________ I certify that the information provided above is true and correct to the best of my knowledge. I UNDERSTAND THAT MISREPRESENTATION CAN LEAD TO MY VOUCHER BEING REJECTED AND CAN ALSO RESULT IN ME BEING PROSECUTED UNDER THE LAW. Signed: ___________________________________ Date: _____________________________ Please make sure the voucher is filled out COMPLETELY before sending it to SquareTrade. Sincerely,
	The SquareTrade Team

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