Request edit access
I Want to a Featured Journalist for the Ambassador Monthly
Contact us at 678-871-6765 or
Email address *
Last Name *
First Name *
Email *
Do you have a Social Media Account? *
Provide Links or Social Media Handle *
Topics For Which You Want to Be Considered (check all that apply) *
Why Should We Choose You? *
Please Provide a Brief Bio *
Are you willing to make a monthly commitment to submitting an article? *
Will you want to promote a product or service i.e., place a high resolution, print-ready ad in the publication? (Provide a description of product, service) *
RELEASE As part of the services being furnished by me to as part of the Ambassador Monthly and/or without compensation, I hereby give my consent to the photographing; videotaping; recording of myself and to the recording of my voice and likeness for the exclusive use of Opulence Enterprises Atlanta, LLC, The Ambassador Monthly, LeTonya F. Moore, an individual (Collectively, Company) and/or designees as it is related to the Ambassador Monthly publication. The Company is hereby authorized to use or cause to be used said still photographs or motion picture footage, recordings of my voice, likeness, and my name for advertising, publicity, commercial or other business purposes, my submitted article, etc. Said article, photographs and/or recordings may be used singularly or in conjunction with other photographs and/or recordings. ALSO, the Individual and his/her parent or guardian, hereby authorizes the Company to edit these writings and recordings at its discretion, and to incorporate these recordings into movie and sound films or audio – and videotapes, broadcasts (radio, website, and television, including digital, cable and satellite transmissions) programs, or otherwise, and to use and license others to use it. The Company has my authorization to reproduce, or cause to be reproduced for commercial purposes such writings, photographs, video or digital footage, and voice recordings. The same may be exhibited in all domestic and foreign markets. I understand that others may use and/or reproduce said photographs and/or voice or digital recordings with or without the Company's consent. I hereby release the Company, any of its associated or affiliated companies, their directors, officers, agents, coaches, employees, customers and the Company's appointed advertising agencies, officers, directors, agents, coaches, and employees, from all claims of any kind on account of such use. *
Comments and/or questions
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service