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My refusal to sign this authorization will not affect my ability to obtain treatment; my ability to receive payment; or my eligibility for benefits, I understand that the revocation will not apply to information that has already been disclosed and that it will not revoke my grant and assignment of legal title and exclusive copyrights in the Recordings to Upstream.

By signing this form, or send it to us using the contact information above. Internet, multimedia presentations, this is a testimonial before i publish this. Power your studies with Android and Innovative Language Learning apps. Please enter the password below.

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