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Photo Use Form
*
Part 1 (to be completed by photo subject)
(Required.)
Name
Phone
Email
Would you like to connect on social media?
Twitter ID
Facebook ID
*
Cleanfarms is welcome to use my name with this photo
(Required.)
Yes
No
Maybe - Please check with me first
By signing this release, I hereby give the Cleanfarms, Inc. my permission to license the Images and to use the Images in any Media for any purpose which may include advertising, promotion, social media, marketing, packaging, and gallery shows or for any product or service. I agree that the Images may be combined with other images, text and graphics, and cropped, altered or modified. I agree that I have no commercial monetary rights to the Images, and all these rights to the Images belong to Cleanfarms. I acknowledge and agree that I have no further right to additional consideration, accounting, or compensation, and that I will make no further claim for any reason to Cleanfarms. I acknowledge and agree that this release is binding upon my heirs and assigns. I agree that this release is irrevocable, worldwide and perpetual, and will be governed by the laws of the Canada.
*
Release: I have read and agree to the Photograph Release terms
(Required.)
I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release.
*
Part 2 (to be completed by photographer)
(Required.)
Name
Photo date
Collection type (unwanteds, containers, grain bags, etc.)
Collection location
Please tell us about this/these picture(s):
Please upload the image(s) here or email to
beverleym@cleanfarms.ca
Image 1
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Image 2
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Image 3
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