PHOTOGRAPHER S COPYRIGHT CONSENT FORM

[Pages:1]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.

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download