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I, _________________________________ (Copyright holder) authorize Airtoons.com to make
an electronic image of the photograph(s) described
below. I understand that Airtoons.com will use this image as a reference to create one or more
“digital portrait(s)” using a computer and optionally printing the completed work(s)
on art media.
Photograph(s) Description:
(For example, name of the event or subjects, date taken,
ID or negative number, etc.)
________________________________________________
________________________________________________
Authorization
________________________________________________
(Copyright holder’s name, please print)
________________________________________________
(Airtoons.com Customer Name)
________________________________________________
(Copyright Holder's Signature)
Business Name & Address __________________________________
__________________________________________________________
Phone No. ( ______ ) _____________________
Date ____________________
Please fax to Airtoons.com: +1 (502) 371-7351 or scan and email this form. For further assistance please contact the Airtoons pilot!
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