Form C			PROJECT SIGNATURE PAGE

Complete Title of Project: ………………………………………………………………………………

The signatories agree to accept responsibility for the scientific conduct of the project, within the roles and contributions described in this proposal.

Principal Investigator / Team coordinator: …………………….

Signature:…………………………                            Date…………………

Co-Investigator(s) / Team member(s): ……………………………..

Signature:…………………………                            Date…………………                  

Co-Investigator(s) / Team member(s): ……………………………..

Signature:…………………………                            Date…………………

Co-Investigator(s) / Team member(s): ……………………………..

Signature:…………………………                            Date…………………

Co-Investigator(s) / Team member(s): ……………………………..

Signature:…………………………                            Date…………………

Co-Investigator(s) / Team member(s): ……………………………..

Signature:…………………………                            Date…………………

Co-Investigator(s) / Team member(s): ……………………………..

Signature:…………………………                            Date…………………