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FORTHEDISTRICTOFMINNESOTA
JohnFrederickDryer,etal.,
)
CivilActionNo.092182(PAM/AJB)
Plaintiffs,
)
REQUESTFOREXCLUSION
)
FROMSETTLEMENTCLASS
v.
)
NationalFootballLeague,
Defendant.
REQUESTFOREXCLUSIONFROMSETTLEMENTCLASS
PleasetakenoticethatI,__________________________,herebyrequesttobeexcludedfrom
theSettlementClassintheabovecaptionedaction.[Ifyouaretheestaterepresentativeforadeceased
NationalFootballLeague(NFL)and/orAmericanFootballLeague(AFL)player,pleaseprintthename
oftheplayerhere:___________________________________________].
Name:
________________________________________________
Address:
________________________________________________
________________________________________________
Phoneno.:
________________________________________________
Email:
________________________________________________
I(orthedeceasedNFL/AFLplayernamedabove)playedintheNFL)andorAFLfrom
_________to_________forthefollowingNFLand/orAFLteams:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________.
Dated: ________________,2013
By:____________________________________
[Signature]
______________________________________
[Printname]