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Jill
West and Blues Attack
www.jillwest-and-bluesattack.com
COPYRIGHT
RELEASE
I, ___________________________________,
hereby authorize Deena N. Alansky,
webmaster for Jill West and Blues Attack, to publish my original photograph(s)
on the Jill West and Blues Attack web site.
| Name
Of Photographer/Copyright Holder |
| Signature
(please sign) |
________________________________________ |
|
Name (please print) |
________________________________________ |
| Today's
Date |
________________________________________ |
COPYRIGHT
HOLDER'S CONTACT INFORMATION
(PLEASE PRINT...THANK YOU!)
| Name |
|
| Street
Address |
|
| City,
State |
|
| Zip
Code |
|
| Phone
Number |
|
| E-Mail
Address |
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MODEL'S
RELEASE
I,
________________________________________ hereby authorize Deena N. Alansky,
webmaster for Jill West and Blues Attack, to publish my image (or my child's
image)
on the Jill West and Blues Attack web site. This image is in the form
of photograph(s)
being submitted by: ___________________________________.
*If
a model in the photograph is a minor (under the age of 18), the signature
of a parent is required.
| Name
Of Model |
| Signature
(please sign) |
________________________________________ |
|
Name (please print) |
________________________________________ |
| Today's
Date |
________________________________________ |
MODEL'S CONTACT
INFORMATION
(PLEASE PRINT...THANK YOU!)
| Name |
|
| Street
Address |
|
| City,
State |
|
| Zip
Code |
|
| Phone
Number |
|
| E-Mail
Address |
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Please
send the signed Copyright & Model's Release to:
Krisbee Records,
c/o Hank Raffetto
418 March Street, Ellwood City, PA 16117
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Thank
you for your support of Jill West and Blues Attack!
CLICK
HERE FOR TIPS ON PRINTING FROM A WEB PAGE
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