Consent Form and permission of use for www.branfordpictures.com

	PHOTOGRAPHIC CONSENT FORM Dear Jacey Wyatt, The undersigned does hereby authorize JACEY WYATT for BRANFORDPICTURES and/or its associates, assistants, or subcontractors to photograph/film and permit the use and display of said photographs in any publication, multimedia production, display, advertisement or World-Wide Web Publication for Information Systems and Technology or its constituent departments used for commercial use. I am giving my consent and permission to Jacey Wyatt to use the image(s) of my personal possession for all types of commercial and product manufacture merchandise use that is permitted. I am fully aware that the image(s) exist and that I am or will not be seeking any financial gain from the image(s) produced. Jacey Wyatt has all rights reserved to the image(s) for copyright, use, distribute and ownership. The undersigned releases and forever discharges Jacey Wyatt, its agents, officers and employees from any and all claims and demands arising out of or in connection with the use of said photographs / images, including but not limited to, any claims for invasion of privacy or defamation. I accepted and agreed that my name as owner, partner, director, trustee, or officer or address will not be released to anyone or printed on any photograph, as this information is confidential between the two parties. I am choosing to electronically send my consent to Jacey Wyatt for Branfordpictures and I understand and accepted and agreed that when this form is sent it is legally binding the two stated parties. Consent by: calendar ordering form
First Name:	*
Last Name:	*
Address:	*
Apt, Suite or Island:
City:	* State:* Zip Code:*
Phone Number:	*
Email:	* *REQUIRED INFORMATION
	add any note and your property: If you have any questions, such as to where to send form or get a original form by mail and or copy, call us at 1-800 JCWYATT (1.800.529.9288) or 203.481.001 or visit us online at www.branfordpictures.com under customer are and email us your request. This form when sent is legally binding. The "I" is owner of personal property filled in the consent section on this form and "Jacey Wyatt" is Jacey Wyatt for Branfordpictures which is a division of the jcwyatt company. This form must be by an owner, partner, director, trustee, or officer and legal verification of the "I" stated will confirmed with records located in the Branford Assessor's office.