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©Copyright 2002 Creative Business www.creativebusiness.com Permission granted for single copy reproduction only. MODEL RELEASE Date: _______________________ For valuable consideration, I hereby irrevocably consent to and authorize the use and reproduction by you, or anyone authorized by you, of any or all photographs which you have this day taken of me or my property, negative or positive, proofs of which are hereto attached, for any purpose whatsoever, without further compensation to me. All film negatives and positives and electronic images and data, together with the prints shall constitute your property, solely and completely. Signature: ___________________________________________________ Name: ______________________________________________________ Address: ____________________________________________________ City: _________________________ State: ___________ Zip: _________ Phone: ______________________________________________________ Signature of parent or guardian if minor: _________________________ Signature of witness: __________________________________________
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1/31/2008
English
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