Secure Concepts Media Release Form
This form outlines information pertaining to Secure Concepts taking photographs/videos for advertisement purposes.
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I grant permission to Secure Concepts to use my image (photograph and/or video) for use in Media publications including: Videos, Email Blasts, Brochures, Newsletters, Social Media Accounts, Website and/or Affiliates. *
I herby waive any rights to inspect or approve the finished. photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is. known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image. *
I acknowledge that I am 21 years of age or older *
I acknowledge that I am submitting an electronic form and my signature will be interpreted as "signed" by me typing my name. *
Please type your full name as your E-Signature *
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