Hadley et al v. The Cable Guys, Inc. et al

Filing 12

CONSENT ORDER CONDITIONALLY CERTIFYING CASE AS FLSA COLLECTIVE ACTION. Signed by Magistrate Judge Charmiane G. Claxton on 8/31/2009. (Attachments: # 1 Exhibit A - Court Approved Notice, # 2 Exhibit B - Plaintiff Consent Form)(Claxton, Charmiane)

Exhibit B

FLSA ACTION AGAINST THE CABLE GUYS, INC. & BURGE FRANKS PLAINTIFF CONSENT FORM ________________________________________________________________________ I hereby consent to join the action against The Cable Guys, Inc. and Burge Franks as a Plaintiff to assert claims for overtime pay. If this case does not proceed collectively, I also consent to join any subsequent action to assert claims against The Cable Guys, Inc. and Burge Franks Inc. for overtime pay. During the past three years, there were occasions when I worked over 40 hours per week as an installer or technician and did not receive overtime compensation.
____________________________________ Signature Date ____________________________________ Print Name ____________________________________ Address (with apartment number if applicable) ____________________________________ City, State, Zip Code ____________________________________ Home Telephone ____________________________________ Mobile Telephone ____________________________________ E-Mail Address ____________________________________ Social Security Number (last 4 digits)
________________________________________

Emergency Contact (and phone number)

Fax, Mail or Email to:

Donati Law Firm, LLP Attn: Billy Ryan 1545 Union Avenue Memphis, TN 38104 Fax: [phone] Toll Free Telephone: [phone] Email:[e-mail]