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