For good and valuable consideration, the receipt of which is hereby 
acknowledged, I hereby consent to the photographing of myself and the 
recording of my voice and the use of these photographs and/or recordings 
singularly or in conjunction with other photographs and/or recordings for 
advertising, publicity, commercial or other business purposes.  I 
understand that the term "photograph" as used herein encompasses both 
still photographs and motion picture footage. 
 
I further consent to the reproduction and/or authorization by 
___________________ to reproduce and use said photographs and recordings 
of my voice, for use in all domestic and foreign markets.  Further, I 
understand that others, with or without the consent of ________________ 
may use and/or reproduce such photographs and recordings. 
 
I hereby  release _____________________, and any of its associated or 
affiliated companies, their directors, officers, agents, employees and 
customers, and appointed advertising agencies, their directors, officers, 
agents and employees from all claims of every kind on account of such 
use.

Seller understands that his/her photographs will be for the benefit of his/her 
advertisement with _____________________.
 
________________________ 
 Signature 

________________________
    Date