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I, the undersigned (“Releasor”) hereby grant permission and consent to Modern Forms (the “Releasee”) the use of the following photograph(s) as identified below for presentation under any legal condition, including but not limited to: publicity, advertising, web content, social media, illustration and copyright purposes.

I understand and agree that there will be no payment for this release and that no royalty, fee or other compensation shall become payable to me for such use. I understand that with my authorization below, the permission to use these photograph(s) may never be revoked. I certify that I have the full right and authority to enter into this agreement and grant the rights herein granted, and that the consent or permission of no other person, firm or entity is necessary in order to enable you to exercise or enjoy the rights herein granted.