p^g_24-’94 THU 14:40 I D: HEfIftTOLDGY-ONCOLOGY FAX NO: 602-626-2225 
H444 P06 
Appr. Date: 11/23/93 
Rev: 1/13/94 
SUBJECTS- CONSEl^ FORM 
TITLE Phase I Study of Immunotherapy 
of Malignant Melanoma by 
Direct Gene Transfer 
Page _5_oL5. 
Number: 
SWOG: 
HSC- 93-175 
OF THE HEMATOLOGY/ONCOLCGY SECTION OF THE CANCER CENTER. I UNDERSTAND THAT 
I DO NOT GIVE UP ANY OF MY LEGAL RIGHTS BY SIGNING THIS FORM. A COPY OF THIS 
SIGNED CONSENT FORM WILL BE GIVEN TO ME. 
STGNATTmFS: 
Subject 
Date 
Parenc/Legal Representative Date 
I have carefully explained to the subject the nature of the above projecL I hereby 
certify that to the best of my knowledge the person who is signing this consent form 
understands clearly the nature, demands, benefits and risks involved in his/her 
pardclpacion. A medical problem or language or educational barrier has not 
precluded this understanding. 
Investigator 
Date Witness 
Dace 
[2581 
Recombinant DNA Research, Volume 19 
