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					                                                CLASS ACTION CLAIM FORM
                               Vinson v. Verizon Directories Corp., Case No. INC055768

                                    Vinson v. Verizon Directories Settlement Administrator
                                                        PO Box 9349
                                               Minneapolis, MN 55440-9349

       FOR IDENTIFICATION PURPOSES, WRITE YOUR NAME AND ADDRESS HERE:

       _____________________________________________

       _____________________________________________

       _____________________________________________



                                    INSTRUCTIONS FOR COMPLETING THIS FORM
1.       Fill out all parts of this claim form completely. Your claim may be rejected if you provide incomplete or
         inaccurate information.
2.       You may submit only one claim per person or business.
3.       Answer all questions on behalf of the business for which the Yellow Pages advertising referenced below was
         purchased, unless you are a certified marketing representative, in which case answer all questions on behalf of
         yourself as a certified marketing representative.
4.       You may submit this claim form online or by mail. An online copy can be found at
         www.DirectoriesSettlement.com, and can be submitted by clicking on the “Submit” button at the end of the form.
         To submit it by mail, send it by United States mail, postage prepaid, to the Vinson v. Verizon Directories
         Settlement Administrator, PO Box 9349, Minneapolis, MN 55440-9349.
5.       Claim forms that are submitted online must be submitted by March 12, 2008, at 11:59 p.m. Pacific Standard Time, and a
         claim form will be rejected if submitted after that time or if it is incomplete. Claim forms that are submitted by mail must
         be postmarked by March 12, 2008, and a claim form will be rejected if postmarked after that date or if it is incomplete.
6.       If you are the successor-in-interest or heir of the person or entity that purchased Yellow Pages advertising in the
         directories listed below, then you must submit this claim form by mail instead of online, and must enclose
         documentation establishing that you are the successor-in-interest or heir and that you now hold any claims relating to
         the timing of the distribution of the directories.

                                           PART A – CLAIMANT INFORMATION
___________________________________________                         ___________________________________________
Business (or Certified Marketing Rep.) Name                        Mailing Address

___________________________________________                         ___________________________________________
City                                                               State and Zip Code

___________________________________________                         ___________________________________________
E-mail Address                                                      Phone Number

________________________________________
Social Security Number or Taxpayer ID Number

If you are the successor-in-interest or heir of the business or certified marketing representative listed above, provide your
name, complete mailing address, phone number, and e-mail address: __________________________________________
__________________________________________________________________________________________
                                              PART B – CLAIM DETAILS
Answer each of the following questions by checking the appropriate box:

       1.      Did you purchase advertising in any of the following Verizon Directories Corp. Yellow Pages print
               directories: (a) the directory for the Palm Springs, California area dated 2004 (the “Palm Springs
               Directory”); (b) the directory for the Indio, California area dated 2004 (the “Indio Directory”); or (c) the
               Coachella Valley Mobile Guide directory dated 2004-2005 (the “Coachella Valley Directory”)?

                                                           Yes       No
       2.      Did you pay all your bills in full for any and all advertising you purchased in the three directories listed
               above?

                                                           Yes       No
       3.      Have you received any credit or other compensation from Verizon Directories Corp., Verizon Information
               Services, or Idearc Media Corp. in response to any claim or complaint you made concerning the timing of
               the distribution of any of the three directories listed above?

                                                           Yes       No

                                      PART C – COMPENSATION ELECTION
If your claim is approved, then you will become entitled to one and only one of the following forms of compensation.
Check the box beside the form of compensation you would prefer to receive. Check only one box.

               A check in an amount that is equal to the sum of: (a) 5.2178% of the total amount you paid for 12 months
               of advertising in the Palm Springs Directory; (b) 3.8446% of the total amount you paid for 12 months of
               advertising in the Indio Directory; and (c) 6.0363% of the total amount you paid for 12 months of
               advertising in the Coachella Valley Directory.

               A coupon that will entitle you to a discount for advertising in a future edition of the Verizon Yellow
               Pages print directories for Palm Springs, Indio, or Coachella Valley, California, such discount to
               have a retail value equal to 200% of the amount you otherwise would be entitled to receive pursuant
               to the formula in the preceding paragraph. For further details concerning the coupon and its
               permitted use, including important limitations, please refer to the class action Notice you received in
               the mail and that is available at www.DirectoriesSettlement.com, and the full settlement agreement
               available at www.DirectoriesSettlement.com.

                                            PART D – CERTIFICATION
Do you certify under penalty of perjury that the information you provided above is true and correct to the best of your
knowledge, information, and belief?


            Yes        No

       ____________________________________________
       Signature (if submitting claim form by mail)

				
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