Name *

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ALLOW MY IMAGES TO BE USED FOR MARKETING. I hereby authorize Liza Sue Productions, LLC and Premier Boudoir, hereafter referred to as “Company,” to publish photographs taken of me, and my name and likeness, for use in Liza Sue Productions, LLC's and Premier Boudoir's print, online and video-based marketing materials, as well as other Company publications. I hereby release and hold harmless Liza Sue Productions, LLC and Premier Boudoir from any reasonable expectation of privacy or confidentiality associated with the images specified above. I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. By selecting YES below you agree to this release. *

YES

NO

NAME AS SIGNATURE *

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Date *

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