Perry v. AT&T Mobility LLC et al

Filing 96

ORDER by Judge GONZALEZ ROGERS granting 90 Motion for Preliminary Approval of Settlement (lrc, COURT STAFF) (Filed on 1/9/2013) (Additional attachment(s) added on 1/9/2013: # 1 Exhibit, # 2 Exhibit, # 3 Exhibit) (lrc, COURT STAFF).

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Exhibit 2 to Order Granting Preliminary Approval IN THE UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA SANDRA PERRY, ARMAKIA MARINER-REED and PATRYCE COUNTS, individuals, on behalf of themselves, and on behalf of all persons similarly situated; and JASON HILTON, an individual, Plaintiffs, Case No. C 11-01488 YGR REQUEST FOR EXCLUSION Compl. Filed: Courtroom: Judge: March 28, 2011 Courtroom 5 Hon. Yvonne Gonzalez Rogers v. ARISE VIRTUAL SOLUTIONS INC., a Delaware Corporation, Defendant. IF YOU DO NOT WANT TO BE INCLUDED IN THE CLASS ACTION SETTLEMENT: COMPLETE THIS FORM IN ITS ENTIRETY, SIGN THE FORM, AND MAIL IT VIA FIRST CLASS MAIL TO THE ADDRESS BELOW WITH A POSTMARK OF NO LATER THAN [DATE] (45 DAYS AFTER THE CLASS NOTICE AND THIS FORM WAS MAILED). Gilardi & Co., LLC P.O. Box 8060 San Rafael, California, 94912-8060 (866) 323-3954 I hereby declare as follows: (1) I received notice of the proposed Settlement in this action and on one or more occasions from March 28, 2007 through to August 31, 2012, I provided customer service or technical support services on applications for [AT&T Mobility LLC / Apple Inc.] accounts, while located in the State of California, pursuant to Statements of Work with Arise Virtual Solutions Inc. (“Arise”). (2) I wish to be excluded from the Settlement Class described in the Class Notice and I do not want to participate in the proposed settlement described therein. I understand that I will NOT receive a share of the proposed Settlement and return this form. 1 EXCLUSION FORM Exhibit 2 to Order Granting Preliminary Approval I declare that the foregoing and the information provided below is true and correct. Executed on ____________(date), 2013, at ____________________________ (city and state). (Signature) (Typed or Printed Name) (Address) (City, State, Zip Code) (Telephone Number, Including Area Code) 2 EXCLUSION FORM

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