UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT : : : : : : - against : : : THE HANOVER INSURANCE GROUP, INC. : : Defendant. : JEFFREY LUMIA and JOSEPH TORINO individually and on behalf of other similarly situated individuals Plaintiffs CIVIL ACTION NO.: 3:07-CV-01094 (AHN)
_________________, 2007
CONSENT TO JOIN ACTION AND AUTHORIZATION TO REPRESENT
I, __________________________, consent to be a party plaintiff in the above action pursuant to Section 16(b) of the Fair Labor Standards Act, and authorize Attorneys Anthony J. Pantuso, III of the Pantuso Law Firm, LLC and Richard E. Hayber, of the Hayber Law Firm, LLC, to act on my behalf in all matters relating to this action, including the settlement of my claims.
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______________________________ Date
Address:
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Telephone #: ___________________________