Photo
Release & Consent Form
I do hereby authorize AUT Merchandise Store, its
agents, successors, assigns, subsidiaries and or affiliates to use all
information supplied to said organization(s) by me in
any or all of its publicity without limitation. Said picture(s), photograph(s)
or information shall be and remain the property of AUT Merchandise Store. They
may be used with or without using my name or using my initials of a fictitious
name. Neither the copy nor the edited photographs have been submitted to me for
inspection or approval prior to publication. I agree that I am donating this
material and that my only compensation is as stated below on this consent form.
I agree that my only
compensation is a free bottle of Gro-Aut Hair Oil every three months for one year
from the first date of purchase of AUT Gro-Aut Hair Oil from AUT Merchandise
Store for a total of 3 free bottles for the remainder of the
year.
I agree that I must have made
a purchase of at least one bottle of Gro-Aut Hair Oil from AUT Merchandise
Store within the past 30 days in order to be eligible to receive the free
Gro-Aut Hair Oil offer and that purchases made through AUT Merchandise Ebay
Store does not qualify.
I agree to send
AUT Merchandise Store a “before” and “after” photo within 2 weeks after 3 months
of use of AUT Gro-Aut Hair Oil and every three months thereafter for 9 months.
I agree to only
send photos in gif or jpg format to autmerchandise@comast.net.
I agree to only
send photos that display a clear image. I understand that all photos sent not
displaying a clear image may not be used. I also understand that sending photos
without a clear image may cause my free oil shipments to terminate without
notice.
I understand that
I am eligible for free Gro-Aut Hair Oil shipments only after AUT Merchandise Store have received
and approved my photo(s).
I understand that
I will be notified by AUT Merchandise Store when my photo(s) have been approved.
I understand that
I am only eligible for free Gro-Aut Hair Oil shipments after I have received an
approval confirmation letter by an AUT Merchandise Store representative either
via email or mail.
I understand that
I will receive one free bottle of Gro-Aut Hair Oil after AUT Merchandise Store
receives and approves my “before” and “after” photo(s) and I
understand that I must send a current updated “after” photo(s) every three
months thereafter for 9 months in order to continue my free Gro-Aut Hair Oil
shipments for a total of three free bottles of Gro-Aut Hair Oil.
I understand that
the material of AUT Merchandise Store is not meant to take the place of
diagnosis and treatment by a qualified medical practitioner and that any
application of the recommendations is at the user's sole risk.
I agree that I
will avoid use of AUT Merchandise Store products if I have an allergy to any of
the ingredients.
I hereby warrant
and represent that I am at least 18 years of age.
I, the
undersigned, do hereby consent to the above authorization and general release.
Dated this _________ Day of ________________________________ , 20 ______.
__________________________________________________________
(Print full legal name)
__________________________________________________________
(Legal signature)