Permission

PHOTOGRAPHY CONSENT AND RELEASE FORM

I acknowledge that images of my products and screenshots of my specific website named below and designed by Web Design by SMiles Productions (SMP) may be used, without limitations unless otherwise specified below, in print publications, online publications, websites and on social media by Web Design by SMP. I waive any right to compensation arising from or related to the use of these photographs and sreenshots of my photos and screenshots.

Please fill out the following form.

First name

Last name

The name of my website that was designed by Web Design by SMP is:

LIMITED USE. My website that is listed above and was designed by Web Design by SMP was durning the following dates and my permission of use of photos and screenshots is limited to these dates:

FROM

TO:

If necessary, please add anything more you wish:

Initials

I declare that the info I’ve provided is accurate and complete.

MY INITIALS AND SUBMISSION OF THIS FORM SERVES AS TESTAMENT TO MY AFFIRMATION OF CONSENT.