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Please provide the following information in order to allow InstaSteam to use your video and to receive your free gift
I [Customer Name Entered Above] *
Agree to give permission to Pristeam Products, LLC to use the video I created using the InstaSteam product for marketing and promotional purposes. I hereby grant Pristeam Products, LLC (the “InstaSteam”) the irrevocable right and permission to use photographs and/or video recordings of me on InstaSteam and other websites and in publications, promotional flyers, educational materials, derivative works, or for any other similar purpose without compensation to me. I understand and agree that such photographs and/or video recordings of me may be placed on the Internet. I also understand and agree that I may be identified by name and/or title in printed, Internet or broadcast information that might accompany the photographs and/or video recordings of me. I waive the right to approve the final product. I agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof, and all plates, negatives, recording tape and digital files are and shall remain the property of InstaSteam. I hereby release, acquit and forever discharge InstaSteam, its current and former trustees, agents, officers, and employees of the above-named entities from any and all claims, demands, rights, promises, damages, and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation. I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name. This release is binding on me and my heirs assign and personal representatives.
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