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Publicity Consent Form Name DATE Type of Publicity IPRO ESRD Network of New York Publication Name of publications Kidney Chronicles Network Notes The PAC Speaks URL http //www. Esrdny. ipro. org newspaper television radio etc. Other Specify use The subject of this public information is to publicize Award Recognition. I agree to this publicity with the following restriction s Page 1 of 2 1/2015 Rev. 1. 0 ESRD Network of New York Award Recognition Publicity Consent Form SPECIFIC UNDERSTANDINGS...
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