Physicians and Scientists for Responsible
Application of Science and Technology
- A Global Network -

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Signature form

Hereby I declare my support to the Declaration of PSRAST demanding
a moratorium on the release of GE organisms and on the use of GE food.

(There is more room than the size of the boxes if the entry is long)
  
Name                      
Title and/or occupation   
Adress on one line:       
Zip code                  
Country                   
E-mail address            
Physicians: Spec&clinic   
Scientists: Position/dept