PHYSICIANS AND SCIENTISTS FOR RESPONSIBLE 
                 APPLICATION OF SCIENCE AND TECHNOLOGY 
              

 INSTRUCTIONS TO YOU WHO COLLECT WRITTEN SIGNATURES ON OUR DECLARATION

1. Set the top and bottom margins to minimum values for printout. Then
there will be room for 5-7 signatures on one page (if you use both 
sides). For optical reading and faxing of large numbers, it may be more 
practical to use one side only. If so, always use the first side, otherwise the signatures will not be valid.

2. Before you print out, adjust the text so that no signature entry is
is divided into two pages. And check that the separating line (====) 
is not divided into two lines.

3. Don't forget to have a printout of our message " Warning about food 
that is genetically engineered " along with the signature list. You will 
find its latest version (changes of addresses and URLs may occur so 
please use always the downloaded version) at URL: 
http://www.psrast.org/ecpdownl.htm

4. You can send in the lists in three ways:

   a. Read them in optically and E-mail:
      To: decl@mbox.301.swipnet.se 
      Subject: signature list

   b. Fax them to +46-322 620944 (in Sweden)

   c. Post them to:
   
      PSRAST
      Stockholmsv. 23D
      S-447 31 VARGARDA,  
      SWEDEN                                            


NOTE: If you use electronic transfer, please keep the original lists in a 
safe place a verification documents.


GOOD LUCK!






                          SIGNATURE LIST

(If  you want No Further Information , please put "NFI" in front of your 
Surname. Otherwise you will obtain further information about the results 
of this campaign - (two or three e-mails) provided you have entered an e-
mail address.) 
________________________________________________________________________


Hereby we sign the Declaration of PSRAST, demanding a moratorium on the 
release of Genetically Engineered (GE) organisms and their use as food.


SIGNATURE:____________________________ Date:_________________  

PLEASE WRITE WITH DISTINCT BLOCK LETTERS:

Surname & First Name= _______________________________________

Title / Occupation=   _________________________________________

Postal address in this format: street; city; state; zipcode (use ;)=

_______________________________________________________________

Country= ___________________________ Email=  ___________________________


SIGNATURE:____________________________ Date:_________________  

PLEASE WRITE WITH DISTINCT BLOCK LETTERS:

Surname & First Name= _______________________________________

Title / Occupation=   _________________________________________

Postal address in this format: street; city; state; zipcode (use ;)=

_______________________________________________________________

Country= ___________________________ Email=  ___________________________


SIGNATURE:____________________________ Date:_________________  

PLEASE WRITE WITH DISTINCT BLOCK LETTERS:

Surname & First Name= _______________________________________

Title / Occupation=   _________________________________________

Postal address in this format: street; city; state; zipcode (use ;)=

_______________________________________________________________

Country= ___________________________ Email=  ___________________________





SIGNATURE:____________________________ Date:_________________  

PLEASE WRITE WITH DISTINCT BLOCK LETTERS:

Surname & First Name= _______________________________________

Title / Occupation=   _________________________________________

Postal address in this format: street; city; state; zipcode (use ;)=

_______________________________________________________________

Country= ___________________________ Email=  ___________________________


SIGNATURE:____________________________ Date:_________________  

PLEASE WRITE WITH DISTINCT BLOCK LETTERS:

Surname & First Name= _______________________________________

Title / Occupation=   _________________________________________

Postal address in this format: street; city; state; zipcode (use ;)=

_______________________________________________________________

Country= ___________________________ Email=  ___________________________



SIGNATURE:____________________________ Date:_________________  

PLEASE WRITE WITH DISTINCT BLOCK LETTERS:

Surname & First Name= _______________________________________

Title / Occupation=   _________________________________________

Postal address in this format: street; city; state; zipcode (use ;)=

_______________________________________________________________

Country= ___________________________ Email=  ___________________________


SIGNATURE:____________________________ Date:_________________  

PLEASE WRITE WITH DISTINCT BLOCK LETTERS:

Surname & First Name= _______________________________________

Title / Occupation=   _________________________________________

Postal address in this format: street; city; state; zipcode (use ;)=

_______________________________________________________________

Country= ___________________________ Email=  ___________________________