Exclusion From Class Action

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ELECTRONIC REQUEST FOR EXCLUSION FROM CLASS SETTLEMENT

Levanoff v. SoCal Wings, LLC , et al.
Orange County Superior Court Case No. 30-2011-00511808-CU-OE-CXC

IF YOU WISH TO BE EXCLUDED FROM THE SETTLEMENT CLASS,
YOU MUST SUBMIT AN EXCLUSION FORM 60 DAYS AFTER MAILING


FILING BY MAIL. You may submit a Request for Exclusion by signing, completing, and mailing this Form to the address below. This is not a Claim Form. Do not mail this Exclusion Form if you wish to remain in the settlement class.

    I, First Name (required)

     

    Last Name (required)

    have read and understand the Notice of Pendency of Class Action. I wish to exclude myself fromthe class. I understand that by requesting exclusion from the class I will not be entitled to share in any money or benefits the class might recover in the lawsuit, but I also will not be bound by any judgment entered in the action, whether favorable or unfavorable.

    Electronic Signature - Type Your Name (required)

    Address (required)

    City (required)

    State (required)

    Zip Code (required)

    Phone Number (required)

    Your Email (required)

    Questions? Call (888) 613-5553

    Deadline: Your Exclusion Form must be received by the Settlement Administrator 60 days after mailing, to be excluded from the settlement class.

    Levanoff v. So CalWings, LLC, et al.
    Notice Administrator
    Phoenix Settlement Administrators
    P.O. Box 27907
    Santa Ana, California 92799-7907