Release authorization of photos or written material

I, ________________________________________________________________________________

(Print Name)
Doing Business AS __________________________________________________________________
Operating business at _______________________________________________________________
In the city of _______________________________________________________________________
In the State of _____________________________________________________________________
Phone Number ____________________________________________________________________
Fed. ID or Last Four Digits of Social Sec Number or DL Number ______________________________
Hereby grant permission to KingBee Media LLC, fashionSTYLE Magazine and its affiliates to reproduce any portion of the photo images or article that have been taken or written by me, for the purpose of SELF USE and or SELF PROMOTION publications which can include but is not limited to, books, cards, calendars, invitations, advertisement, magazine reprint and websites without any compensation. Furthermore, I grant creative permission to alter the photograph(s). I do not grant permission to resale or use the photographs or articles in a manner that would exploit or cause malicious representation toward me or my company and associates.
Any infringements of this policy may violate federal law.

Name: _______________________________________ Date Signed: ________________

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