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consent & release form

First Name

Last Name

Email

Phone

I agree that the photograph(s) that I have contributed may be exhibited in all media and formats both commercially and non commercially. This may include use on social media, website, art galleries etc. Mill Lane Media may without further consent use this(/these) photograph(s) in advertising and in publicising the company in all media and formats.

jacqui@milllanemedia.com

Ferrybank, Waterford, Ireland

©2024 by Mill Lane Media

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