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Photo Use Form
(to be completed by photographer)

Click here to download a PDF version of this form. To view a PDF, you will need Adobe Acrobat Reader. If you don't already have it, you may download a free copy by clicking here .

I, , photographer, hereby grant NY Farms! and its legal representatives, irrevocable permission to publish the photograph I have taken and submitted for the NY Farms! Photo contest as described below.

Please described below each photo's subject/location and the filename if you will be emailing the photos to NY Farms!:

These images may be published in any manner, including advertising, periodicals, greeting cards, calendars, postcards and website, without compensation to me. Furthermore, I hold harmless NY Farms! and its legal representative and assigns from any liability by virtue of any blurring, distortion or alteration that may occur in producing the finished product, unless it can be proven that such blurring, distortion or alteration was done with malicious intent toward me.

I affirm that I am more than 18 years of age and competent to sign this contract on my own behalf or if younger than 18 years of age have had a parent or guardina sign on my behalf. I or my parent or guardian, have read this release and fully understand its contents.

Date:
Signature:
Signature of a:
Address:
Town:
State:
Zip:
Phone:
Email:
I have also submitted a written description of why I took this particular photo and hereby give Ny Farms! permission to use that description with the above photo if I am credited for both.

Photos and forms can be sent electronically to NY Farms! by submitting this form below then emailing us the photos in a JPG Format. You can also print and mail the form and photo(s) to:

NY FARMS!
P.O. Box 210
Watkins Glen, NY 14891
  

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NY FARMS!
P.O. Box 210 · Watkins Glen, NY 14891 · Tel: 607-535-9790 · Fax: 607-535-9794  · 1-888-NYFarms
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