Client Photo Release Form
Date
-
Month
-
Day
Year
Date
Name of Releasor
First Name
Last Name
Name of Releasee
First Name
Last Name
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*
Royalty to Photos
No Royalty shall be paid to the Releasor
Royalties shall be paid
Percentage of Royalty to be paid to releasor
Compensation
Compensation will be paid to Releasor
No compensation shall be paid to Releasor
Amount to be paid
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Revocation Policy
The release of the photographs is revocable
The release of the photographs is non-revocable
Signature of Releasor
Name of Releasor or Representative
First Name
Middle Name
Last Name
Date Signed
-
Month
-
Day
Year
Date
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