MODEL LIMITED CONSENT AND RELEASE

Model Release
In consideration for the value received, I,_______________________________,
do hereby give SouthernBBW.com, and parties designated by SouthernBBW.com, 

including clients, licensees, purchasers, agencies, and periodicals, the
irrevocable right to use my name (and any fictional name) and photographs for
sale and reproduction in any medium for purposes of advertising, trade,
display, exhibition or editorial use.  I have read this release and fully
understand it's contents.

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I affirm that I am more than 18 (21) years of age.

Date of Birth: _____________________________________

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Witness:_________________________________________

Signed:__________________________________________

Address:_________________________________________
________________________________________________
________________________________________________

Date:_________________________

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All information on this release will be kept confidential.
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Email to:  webmaster@southernbbw.com

Mail to:   SouthernBBW
              11255 Garland Road, Suite 1302
              PMB #181
              Dallas, TX 75218