customer story talent release form (PDF)

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Author: Jim Krause

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(Rev. July 12, 2017)

I authorize the undersigned company (TrackR Inc.) to make use of my
appearance on any marketing materials including the TrackR website,
social media, blog, email, etc.

I understand that the Company shall have complete ownership of all footage, story
content - written and/or recorded, and/or images. I give the Company the right to use my
name, likeness and biographical material to publicize the program and the services of
the Company.
The Company may:
1. Use my photograph and record my voice and likeness for the purpose of the
usages mentioned above, whether by film, videotape, magnetic tape, digitally or
2. Make copies of the photographs and recordings so made;
3. Use my name and likeness for the purposes of education, promotion or
advertising of the sale or trading in the photographs, recordings and any copies so
4. Use my customer story, words, and likeness for the purpose of education,
promotion or advertising.
I further understand the master images, video, and content remains the property of the
Company and that there will be no restrictions on the number of times that my name and
likeness may be used.
Name (please print)_____________________________________ Date: _____________
Address ________________________________________________________________
City __________________________________ State ________ Zip Code ___________
Talent Signature (Parent or Guardian if under 18 years of age)
_________________________________________ Date: ______________________

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