APPENDIX D UNITED STATES DISTRICT COURT EASTERN DISTRICT OF PENNSYLVANIA CONSENT TO RECEIVE NOTICE OF ORDERS AND JUDGMENTS IN CIVIL AND CRIMINAL CASES BY MEANS OF FACSIMILE TRANSMISSION AND WAIVER OF PROVISIONS OF FED.R.CIV.P. 77(d) OR FED.R. CRIM.P. 49(c) PROVIDING FOR SAID NOTICE BY MEANS OF MAIL TO THE CLERK OF COURT: I hereby waive the provisions of Fed.R.Civ.P. 77(d) or Fed.R.Crim.P. 49(c) providing for notice of the entry of Orders or Judgments by mail in the manner provided by Fed.R.Civ.P. 5 or Fed.R.Crim.P. 49(c), and consent that notice may be given to me, in all pending and future civil or criminal cases in which I enter my appearance, by the Clerk of Court by facsimile in lieu of notice by means of mail. I understand that this form, when executed, will serve as Notice to and Authorization for the Clerk of Court to keep this information on file for all pending and future civil or criminal cases in which I enter my appearance. I hereby confirm, by execution of this form, that I understand that it is my responsibility to notify the Clerk of Court, in writing, of my current address and facsimile number. Name (Printed) Bar Id Number Address (Printed) Telephone Number Address (Printed) FAX Number Signature Date 2002 © American LegalNet, Inc.