ELSO Member Data Use and Transfer AgreementData Use and Transfer Agreement • July 13th, 2012
Contract Type FiledJuly 13th, 2012This data use and transfer agreement (the “Agreement”) is by and between the Extracorporeal Life Support Organization (“ELSO”), a 501(c)(3) tax exempt nonprofit organization, with its principal place of business in Ann Arbor, Michigan, and _________________________________________ _______________________________________ (“Member”) located_________________________________________________________ (address) ________ (ELSO Center number) and is effective as of the date of the last signature below(the “Effective Date”).