LuxSci: Secure communications
2. I understand that I have the right to revoke this authorization at any time. I understand that if I revoke this authorization, I must do so in writing, and present my revocation to the Chairman of The Grants Committee.
3. I understand that if I refuse to sign, or, at any time revoke this authorization, I will become ineligible for financial assistance from the Cancer Foundation of the Florida Keys.
The completed form will be sent to:
1) The Cancer Foundation of the Florida Keys
2) Your Oncologist.