VOLUNTARY CONSENT: 
I certify that I have read the preceding, or that it has been read to me, and I 
understand its contents. Any questions I have pertaining to the research have 
been, and will be answered by Dr. Lotze or Dr. Rubin. Any questions I have 
regarding my rights as a research subject will be answered by the Office of the 
Senior Vice President, Health Sciences. A copy of this Consent Form will be 
given to me. My signature below means that I have freely agreed to participate 
in this experimental study. 
Date Patient's Signature 
I certify that I have explained to the above individual the nature and purpose, 
the potential benefits, and possible risks associated with participating in this 
research study, have answered any questions that have been raised, and have 
witnessed the above signature. 
Date Investigator's Signature 
Witness 
Recombinant DNA Research, Volume 16 
[519] 
