PHOTO RELEASE FORM
I, Steve Franks, (“Releasor”) with a mailing address of 535 N Michigan Ave Chicago IL
60611 grant permission and consent to: my photograph(s) and or videos as for presentation under any legal condition, including but not limited to publicity, copyright purposes, illustration, advertising, and web content and any distribution anyone deems at its discretion:
ANYONE WITH A COPY OF THIS PHOTO RELEASE MAY USE ALL PHOTOGRAPHS AND VIDEOS FOR PRESENTATION UNDER ANY LEGAL CONDITION INCLUDING BUT NOT LIMITED TO PUBLICITY, COPYRIGHT PURPOSES, ILLUSTRATION, ADVERTISING AND WEB CONTENT AND ANY DISTRIBUTION THAT ANYONE DEEMS AT THEIR DISCRETION
I. Payment
(check one)
I Steve Franks understand that I accepted $10 as payment for this release.
II. Royalties
(check one)
I Steve Franks understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
III. Revocation
I Steve Franks understand that with my authorization below the photograph(s)
and or video’s may never be
revoked. I Steve Franks, the Releasor have understand and agree to the aforementioned terms and conditions.
Releasor’s Signature
: _________________________________ Date June 25
th
2023Print Name: Steve Franks
Releasor’s
Phone: Number 847-452-7544
Releasor’s Email: stevefranks2@comcast.net
