PHOTOGRAPHER S COPYRIGHT CONSENT FORM
Customer Name: _______________________
Date: ____________________
PHOTOGRAPHER'S COPYRIGHT CONSENT FORM
I own the copyright in the accompanying film, print, slide, movie, artwork, CD ROM, disk, or other material (all referred to in this document as the "images")
Depicting: (Describe the content of the images)
I authorize Shutterfly, Inc. to reproduce the images and to deliver them to: (Customer Name):
Any restrictions on the customer's use of the images are to written on this form. Please check the appropriate blanks. This release is for order number _______________________________:
Blanket use for this customer: (Shutterfly account email address) ________________________________ One time use for the order referenced above Only the photos described above All photos by me Photographer/Image owner (sign / print):
Photographer / Image owner address and e-mail:
CUSTOMER'S SUPPLEMENTAL AGREEMENT
Customer represents that the copyright owner has properly signed the above form. Customer also agrees to pay the charges for processing and/or printing the photos, and to indemnify and to hold Shutterfly, Inc. and its agents for all liability, damages, and expenses (including reasonable actual attorney fees) it may incur as a result of its processing and/or printing the photos, including any claims brought by any other person claiming an interest in the photos or in their subject matter. Customer (signature):
Customer address/e-mail for Shutterfly account:
Accepted by: (To be signed by Shutterfly) ____________________________ Date: _________________
* Please note that in order to process this form, we will need either the order number or the email address used for the Shutterfly account written somewhere on this form.
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