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PHOTO RELEASE FORM

I hereby grant permission to PACIFIC TIMES MAGAZINE to use my Photograph or my Child's Photograph on its website or in other official printed publications without further consideration. I understand that PACIFIC TIMES MAGAZINE is a wholly owned company of PUGUA' INTERNATIONAL CORPORATION and that use of photographs will not be limited to educational and commercial purposes.
 
I also understand that once my image is posted on the PACIFIC TIMES MAGAZINE website, the image can be downloaded by any computer user accessing the world wide web. There, I agree to indemnify and hold harmless from any claims the following:
 
     +Board of Directors, Members & Staff.
     PUGUA INTERNATIONAL CORPORATION
 
     +Board of Directors, Members & Staff.
     PACIFIC TIMES MAGAZINE
 
I REPRESENT THAT I AM OVER THE AGE OF EIGHTEEN AND I HAVE READ THE FOREGOING AND COMPLETELY UNDERSTAND THE CONTENTS THEREOF:
 
Name:_________________________________________________
 
Date:________________________________________
 
Telephone:___________________________________________
 
Signature:___________________________________________________

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