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
(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:
Notify me when the photos are copies: Yes No
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.
Address : ______________________________________________________
Accepted by: ____________________________________________________