Customer Name_______________________________________________________

 

PHOTOGRAPHER'S COPYRIGHT CONSENT FORM

I own the copyright in the accompanying film, print, slide, movie, artwork, CD ROM, disk or other material (all referred to in this document as the "photos") depicting:

 

 

 

(Describe the content of the photos)

 

I authorized ______________________________ (Your company Name) to reproduce the photos and to deliver them to ______________________________ (Customer). Any restrictions on the customer's use of the photos are written on the front or reverse side of this forms.

Check the appropriate blanks.

This release is for:

  Blanket use for this customer   One time use
  The photos described above   All photos by me

Notify me when the photos are copies: Yes No

______________________________________________________________

Photographer

Address/Telephone: ______________________________________________________

______________________________________________________________________

 

CUSTOMER'S SUPPLEMENTAL AGREEMENT

Customer represents that the above form has been properly signed by the copyright owner. Customer also agrees to pay the charges for processing and/or printing the photos, and to indemnify and hold harmless _____________________________________ (Your company name) and its agents for all liability, damages and expenses (including reasonable actual attorney fees) it may incur as a result of its processing and/or printing the photos, including any claims brought by any other person claiming an interest in the photos or in their subject matter.

 

_____________________________________________________________

Customer

Address : ______________________________________________________

Accepted by: ____________________________________________________

Dealer/Lab

 

LAB IS TO KEEP THIS FORM AFTER PROCESSING