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What ED Publications has for you!

 
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Model Release
ED PUBLICATIONS & EXOTIC DANCER MODEL RELEASE
  • We want to promote you as much as possible by using your image in our publications, promotional materials, and on our websites ... but to do so, we must first have your approval to use your images. Please take minute to fill out the release below. In order to submit content to be used in the websites and magazines, You must complete and submit this release, all fields are required except for the content upload fields. Content does not have to be uploaded with this form, however we will not use any content received via email or other methods until this form is completed.

  • Stage Name
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  • Phone Number
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  • Email Address
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  • Mailing Address
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  • City
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  • State
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  • Postal Code
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  • CONTENT & LICENSING TERMS

    1. I agree to give ED Publications, Inc. (EDPI) the rights to use my name, informational text about me, and print and video images of me in print and electronic media produced by EDPI, including magazines, websites, CDs and video. I agree to allow EDPI the rights to use text and images from my own website(s), text and images from my promotional materials, text and images of me that are provided by third parties, and text and images of me that are produced by EDPI. Specifically, I hereby grant to EDPI the right and permission to use, re-use, publish, display, print, broad- cast, and disseminate, in advertising and editorial material, television, motion pictures, video, magazines, books, films, printed material, the internet, and any electronic or other media any films, photographs and electronic images made or taken without limitation to number, time period, or any other matter, of me or which I may be included, in whole or in part or composite. I understand that this is for promotional exposure and that I will not receive any monetary compensation from the appearance of my name, information about me, or images of me appearing in any form of print or elec- tronic media produced by EDPI.

    2. I agree, for myself, my heirs, representatives, assignees, agents, next of kin, to forever discharge, release and covenant not to sue EDPI, its officers, directors, employees, independent contractors and all others associated with EDPI for any personal injuries, torts, contractual damages, or any other loss or damage or for any other claim that I may incur as a result of information and/or images of me appearing in EDPI’s print or elec- tronic media.

    3. I expressly agree that this release, waiver, and indemnity agreement is intended to be as broad and as inclusive as permitted by law and that if any portion of this agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and affect. I further state that I have carefully read the above release and I know the contents of the release, and I have signed this release as my own free act.

    4. This release contains the entire agreement between the parties to this agreement and the terms of this release are contractual and not a mere recital.



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  • Age Verification (dd.mm.yyyy)
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  • Sign & date

    Please enter your legal name as it would appear on your drivers license or on tax forms if your stage personality is incorporated as a business. Your information is never shared with the public or outside agencies. Nor will it be published.
  • Last 4 digits of your SS#
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  • Todays Date (dd.mm.yyyy)
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  • Upload limit is 125mb total. You may attache up to four images individually, or several images in a single zipped file. It is not required that you upload images at this time. After completing and submitting the form, you may also submit your content via email to kevin@exoticdancer.com.
  • Content Upload #1
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  • Content Upload #2
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  • Content Upload #3
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  • Content Upload #4
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  • Please enter the spamcode
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