UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT Appearance of Counsel Form Attorneys who wish to participate in an appeal must be properly admitted either to the bar of this court or for the particular proceeding pursuant to 11th Cir. R. 46-1, et seq. An attorney not yet properly admitted must file an appropriate application. In addition, all attorneys (except court-appointed counsel) who wish to participate in an appeal must file an appearance form within fourteen (14) days after notice is mailed by the clerk, or upon filing a motion or brief, whichever occurs first. Application forms and appearance forms are available on the Internet at www.ca11.uscourts.gov. Please Type or Print Court of Appeals No. vs. The Clerk will enter my appearance for these named parties: In this court these parties are: r appellant(s) r appellee(s) r petitioner(s) r respondent(s) r intervenor(s) r amicus curiae r The following related or similar cases are pending on the docket of this court: r Check here if you are lead counsel. I hereby certify that I am an active member in good standing of the state bar or the bar of the highest court of the state (including the District of Columbia) named below, and that my license to practice law in the named state is not currently lapsed for any reason, including but not limited to retirement, placement in inactive status, failure to pay bar membership fees or failure to complete continuing education requirements. I understand that I am required to notify the clerk of this court within 14 days of any changes in the status of my state bar memberships. See 11th Cir. R. 46-7. State Bar: Signature: Name (type or print): Firm/Govt. Office: Street Address: City: State: E-mail: Fax: Zip: 12/07 Phone: State Bar No.: American LegalNet, Inc. www.FormsWorkflow.com