FORM OF CLINICAL ADVISORY PANEL AGREEMENTClinical Advisory Panel Agreement • May 14th, 2007 • Modigene Inc. • Services-mailing, reproduction, commercial art & photography • New York
Contract Type FiledMay 14th, 2007 Company Industry JurisdictionThis Agreement is made as of October 26, 2006, between Modigene Inc. (the "Company"), and _______________ (the "Consultant"'), and shall be effective as of the date this Agreement has been approved by the Board of Directors of the Company (the "Effective Date"). Consultant has been involved in fields of particular interest to the Company. The Company wishes to retain Consultant in a consulting capacity as a member of the Company's Clinical Advisory Panel (the "CAP"), and Consultant desires to perform such consulting services. Accordingly, the parties agree as follows: