Clone of PPM Ticket Eligibility Check

1

Did you purchase clothing or accessories online from White House Black Market (whitehouseblackmarket.com)?* This field is required.

Yes

No

2

When was your most recent online order from White House Black Market?* This field is required.

On or after July 1, 2024

Before July 1, 2024

I'm not sure

Other

3

Was the order shipped to a California address?* This field is required.

Yes

No

4

At checkout, were you charged a separate shipping fee on top of the item price (in other words, you did NOT receive free shipping)?* This field is required.

Yes, I paid for shipping

No, my order had free shipping

I'm not sure

5

Do you still have any record of the purchase, like an order confirmation email, receipt, credit card statement, or shipping notification?* This field is required.

Yes, I have some record

No, I don't have a record

6

Name* This field is required.

First Name

Last Name

7

Phone Number* This field is required.

Please enter a valid phone number.

8

Email* This field is required.

example@example.com

9

I agree to receive calls, texts and emails from the Dapeer Law, P.A. and its affiliates, including recurring texts that may be sent by an automated system. Consent is not required to receive legal services and you can opt out at anytime.* This field is required.

Agree

I do not agree

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utm_source

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utm_medium

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utm_campaign

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