39 A N N E X 1 Si g n at u re fo l i o o f t h e C o n s o r t i u m A g ree m en t t em p l at e CO N FID E N T IA L IM P O R T A N T N O T IC E o T hi s si gna t ure f ol i o shal l be subm i t t e d by e ac h M e m be r t o t he Se c re t ari at and shal l v al i dat e t he m e m b e rs hi p st at us of t he si gni ng M e m be r t o t he C onsor t i um as of t he dat e f i rs t m e nt i one d abov e t he si gnat ure o T he c ont e nt of t hi s f ol i o shal l re m ai n w i t h t he Se c r e t ari at and sh al l be ke pt c on f i de n t i al ac c ordi ng t o t he prov i si ons se t out i n t he C onf i de nt i al i t y A gre e m e nt pre se nt e d i n A nn e x 4 of t he C onsor t i um A gre e m e nt unl e ss t he si gnat ory of t hi s F ol i o i ndi c at e s i t ot he rw i se o T he Se c re t ari at shal l be prom pt l y i nf orm e d on any c hange i n t he dat a prov i de d by t he M e m be r i n t hi s f ol i o In f or m at i on b ox 1 I N F O R MA T I O N O N T H E MEMB E R N a m e R e g i st e r e d a ddr e ss P hone num be r s F a x num be r s W e bsi t e I nvoi c i n g a ddr e ss In f or m at i on b ox 2 I N F O R MA T I O N O N T H E A F F I L I A T E S R E P R E S E N T E D B Y T H E MEMB E R N a m e A ddr e ss 1 2 3 4