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MODEL RELEASE FORM

Photographer name: ________________________________

Model release form no: …………….

Agency/Client: ________________________________________

Model name: ________________________________________

Art order no/PO: ______________________________________

Model address: ______________________________________

Model telephone/email: ______________________________

______________________________________________________

Model agency: _______________________________________

______________________ Post code: ____________________

________________________________________________________

Product/Brand: ______________________________________

______________________ Post code: _____________________

Date/s of shoot/production: _________________________

Shoot/production ref: _________________________________

In accepting this release it is the responsibility of the Photographer/Agency/Client** not to use or authorise the use of
the material except for the de