I, _________________________________ (Photographer) authorize Airtoons.com to make an electronic image of the photograph(s) described below. I understand that Airtoons.com will use this image to create one or more “digital portrait(s)” by electronically altering the pixels in the original photograph(s) and printing the completed works on art media.

Photograph(s) Description:
^{(For example, name of the event or subjects, date taken, ID or negative number, etc.)}

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Authorization


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^{(Photographer’s name, please print)}


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^{(Customer Name)}


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^{(Photographers Signature)}


Business Name & Address __________________________________

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Phone No. ( ______ ) _____________________

Date ____________________

Airtoons
PO Box 2142
Kensington, MD 20891