CLASS ACTION
AGAINST BONJOUR-SANTÉ

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SIGNING UP

If you paid fees to Bonjour-Santé in order to obtain an appointment for insured services and wish to be kept abreast of developments in the class action, we invite you to register on our list and to submit copies of any invoices or receipts you may have to actionbs@surfacturation.ca.

PLEASE NOTE THE FOLLOWING: The law offices of Grenier Verbauwhede Avocats inc. only represent the group in its collective capacity. The law firm does not represent potential members individually. If the class action is granted, each individual will have to personally undertake the steps that the judge deems necessary to claim their compensation.

Bonjour-Santé

First Name
Surname
Address
City
Postal Code	XXX XXX
Email
Would you like to be kept informed about the class action?   Yes No
Telephone	(XXX) XXX-XXXX
Fax	(XXX) XXX-XXXX
Language of correspondance  Français English
Do you consent to being a witness?   Yes No
Comments	To help members of the class, please let us know what your experience was like with Bonjour-Santé and if you took any steps to be reimbursed. You can include any evidence you have, including copies of any invoices or receipts, letters to and from Bonjour-Santé or the RAMQ. You may send them by email at actionbs@surfacturation.ca

NOTE: Please note that the Court will decide whether the class action is well-founded or not, and how any reimbursements will be made. Moreover, the definition of the members of the class actions may be modified, which may result in excluding certain individuals from the class.

5215, rue Berri, Bureau 102
Montréal (Québec) H2J 2S4
T. 514 866-5599 | F. 514 866-3151
actionbs@surfacturation.ca