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		 For valuable consideration received, I hereby grant to __________, and his legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs of me, or in which I may be included, for editorial trade, advertising and any other purpose and in any manner and medium; and to alter the same without restriction. I hereby release photographer and his legal representatives and assigns from all claims and liability relating to said photographs.  
Name: __________________________________________________ 
Address: ________________________________________________ 
Phone: (_____) _________________________________________ 
Email: ________________________________________________ 
Signature: 
		
	
		
		
		
		
			
				__________________ 
				...making a little cash, keeping our panties on. 
			 
		
		
		
		
	
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