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Georgia Model Release Form 2

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This form is provided by MAG Mutual Insurance Company to authorize the use and reproduction of the releasor's photographs.

Georgia Model Release Form 2
Georgia Model Release Form 2
3525 Piedmont Road • Building 8, Suite 600 • Atlanta, Georgia 30305-1533
MODEL RELEASE FORM
Model:
Address:
I hereby assign full copyright of these photographs to MAG Mutual Insurance Company with the right of reproduction.
I agree that MAG Mutual may have unrestricted use of these photographs, with any reasonable retouching or
alteration. I undertake not to prosecute or to institute proceedings, claims or demands against either the
Photographer or MAG Mutual with respect of any usage of the above mentioned photographs.
I have read this model release form carefully and fully understand its meanings and implications.
Signed: Date:
Important! If the Model is under 18 year of age, a parent or legal guardian must also sign:
Parent or Guardian: Date:
Model Release 2008 MAG Mutual Annual Report
12/16/08
Georgia Model Release Form 2