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I hereby authorize X4 Pharmaceuticals, together with any individuals or entities working for or on behalf of X4 Pharmaceuticals, to contact me by mail or email for marketing purposes, including to conduct market research or to obtain similar information from me, and to provide information to me about X4’s drug candidates, services, programs or other potential topics of interest. I understand that I may withdraw the above authorization and choose not to receive future information or updates from X4 Pharmaceuticals at any time by contacting X4 Pharmaceuticals at the following address: patientinfo@x4pharma.com or call 857-529-5779

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