UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT APPEARANCE CASE NUMBER: To the Clerk of this court and all parties of record: Enter my appearance as counsel in this case for: I certify that I am admitted to practice in this court. Date Signature Connecticut Federal Bar Number Print Clearly or Type Name Telephone Number Address Fax Number E-mail address CERTIFICATE OF SERVICE I hereby certify that on , a copy of the foregoing was filed electronically and served by mail on anyone unable to accept electronic filing. Notice of this filing will be sent by e-mail to all parties by operation of the Court’s electronic filing system or by mail to [list names and addresses of anyone unable to accept electronic filing] as indicated on the Notice of Electronic Filing. Parties may access this filing through the Court’s CM/ECF System. Signature (Use additional pages, if necessary, to list the name and address of each attorney or party for which you are certifying service) Atty-Appearance.wpd Sept. 2008 American LegalNet, Inc. www.FormsWorkFlow.com