Statement of Consent - Case Western Reserve University

[Example: a $5 gift card to a local merchant, or: you will be entered into a raffle to win 1 of 10 Amazon gift cards worth $100; chances of winning are approximately 1 in 100.] ... you must sign this authorization form. You will receive a copy of this signed Authorization for your records. ... insert affiliate associated with study] is [are ... ................
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