**I authorize Biogen Idec, and companies working with
Biogen Idec, to provide me with information about, or ask
me about my experience with or thoughts about, products,
services, and programs that Biogen Idec offers or sponsors.
I understand and agree that any information I provide may
be used by Biogen Idec to help develop new products, services,
and programs. I understand and agree that Biogen Idec, and
companies working with Biogen Idec, may contact me by mail,
email, and/or telephone.
I understand that I can choose to opt out of any
future contacts at any time by giving notice by phone at
800.456.2255 or by mailing a letter to: Biogen Idec
Patient Services, 5000 Davis Drive, P.O. Box 13919,
Research Triangle Park, NC 27709-3919.