Postcard Publication
Photo Release Form


I hereby grant L & J Consultants permission to take/use photographs of my residence for the sole purpose of the production of locally distributed postcards. No other publication or reproduction of these photos will occur under the control of L & J Consultants without prior notification or permission.
I will make no monetary or other claims against L & J Consultants for the production and public resale of these postcards, and no cost will occur to me for any reproduction expenses.
I grant permission for photos to be taken of my residence to be used solely for the reproduction and marketing of these postcards.

 
Name:

_________________________________________________

Signature:

_________________________________________________

Date:

_________________________________________________

Address:

_________________________________________________

City, State:

_________________________________________________

Traditional or Photo Edging:

_________________________________________________

2nd Line of back of the postcard:

_________________________________________________

Quantity (30 cents each for 100+):

_________________________________________________


 
 

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Mail this form to:
L & J Consultants
Post Office Box 126
Trout Creek, NY 13847
or fax to (607) 865-4297
Call (888) 530-7937 for more info