Approved For Release 2001M '@J-00789RO02100150049-0
 SURVEILLANCE CONS-'NT AUTHORIZATION
 SG1J
 WARNING NOTICE: INTELLIGENCE SOURCES AND METHODS INVOLVED
                                 SGFOIA3
 born on
 do voluntarily c'onsent to perform duties as a BEACON (U) for Project SUN STREAK (U)
 training and operational missions. I understand that as a BEACON, I will serve as
 the focus for Remote Viewers. In consenting to this statement I acknowledge that
 this authorization:
 a. Will only pertain to training and actual SUN STREAK (U) missions and only
 with my prior consent and knowledge.
 b. Can be entirely or selectively withdrawn without question or penalty. To
 do so, I need only to orally inform my immediate supervisor, the unit operations
 officer or the project manager that I wish to withdraw my consent without further
 explanation.
 c. Will suppose the possibility of inadvertent surveillance of my most intimate
 and personal thoughts and that such inadvertent surveillance will not be reported
 nor become a matter of any official records and that the nature of this inadvertently
 collected information will be held in strictest confidence.
 d. Will at no time be construed as authorization, implied or stated, to conduct
 any type of physical, technical or yet to be defined form of surveillance without my
 prior knowledge and consent.
     SG1 J This statement of authorization is executed in the presence of the witness whose
 signature appears on this -3 day of 5e-je , 19 F@ , without
 reservation, amendment or restriction and without'coercion or implied and/or stated
 SG1J
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 Approved For Release 2MK
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