Image Release Form
For Social Media & Website use
Voucher & Notes
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Email
*
example@example.com
Mobile Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select the product(s) you were using in the below images
*
Gently Gently Balancing Cleanser
Walk of Shine Brightening Cleanser
Catfish Blurring Eye Cream
Vitamin Amen Anti-Ageing Serum
Let it B Hydrating Serum
C Bright Power Serum
Smooth Criminal Smoothing Serum
Care Factor Repairing Serum
One Night Stand AHA Overnight Facial
Sweet Spot Intensive Spot Corrector
Plump Fiction Anti-Ageing Moisturiser
Mr Exosome Regenerative Rich Cream
Over Achiever Mattifying Moisturiser
Swipe Bright Brightening Super Oil
Lift Off Firming Super Oil
The Future SPF 50
Clean Freak High Frequency Sonic Cleansing Device
LED it Glow At Home Light Therapy
ApocaLips Lip Plumping Treatment
BDE Neck & Dec Light Therapy Device
Other
In your words, tell us about your skin transformation using Dr Naomi Skin products and / OR
*
Upload screenshots if you have shared your experience with us on social media
Browse Files
Cancel
of
Authorisation, Release, and Consent
Can we use your name?
*
Complete name
First name
Other
Would you like to be tagged on social media?
*
Yes
No
If yes, please share your social handle
@
Please read and select all
*
I authorise and grant DNS LAB Pty Ltd to right use my image(s) regarding my experiences with their products.
I authorise DNS LAB Pty Ltd to use my image(s), product & experience testimonials on Facebook, Instagram, and other social media platforms and Dr Naomi Skin websites.
I authorise DNS LAB Pty Ltd to edit, alter, copy, or distribute the image(s) for social media advertising and marketing.
I understand that I will not receive any monetary compensation for the use of my image(s) going forward.
Upload high res images
*
Browse Files
Please upload only original HIGH RESOLUTION images that are unedited/uncollaged.
Cancel
of
Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
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