DrugGeneric.com Home

DrugGeneric.com Property Release Form

 
Date:
  ____________________
     
Description of Property:
  ___________________________________________________
     
    ___________________________________________________
     
    ___________________________________________________
     
For consideration received including the opportunity to gain exposure, the receipt and adequacy of which are hereby acknowledged, I irrevocably grant to DrugGeneric.com ("Company") and Company's assigns, affiliates, licensees and successors the right to photograph, copy, publish, display and use images of the Property in all forms and media including composite or modified representations throughout the world and in perpetuity.
 
I waive the right to inspect or approve the manner in which the images of the Property are used and waive the right to inspect any text that is used in connection with the images of the Property.
 
Warranty, Indemnity & Release:
 
I represent and warrant that (1) I have read and understood this agreement, (2) I am over the age of 18, (3) I am the owner of the Property and have the authority to grant the rights under this agreement and agree to indemnify Company from any claims regarding my ownership of the Property. I release Company and Company's assigns, affiliates, licensees and successors from any claims that may arise regarding the use of the images of the Property.
 
I have read and understood this agreement. This Agreement expresses the complete understanding of the parties.
 
Owner's Name:
  ___________________________________________
     
Owner's Address:
 

___________________________________________

___________________________________________

___________________________________________

     
Owner's Phone Number:
  ___________________________________________
     
Owner's E-Mail Address:
  ___________________________________________
     
     
Signature:  ___________________________________________
 
Parent/Guardian Consent [include if the named person above is under the age of 18]
 
I am the parent or guardian of the minor named above. I have the legal right to consent to and do consent to the terms and conditions of this Property Release.
     
Name:
  ___________________________________________
     
Address:
 

___________________________________________

___________________________________________

___________________________________________

     
Phone Number:
  ___________________________________________
     
E-Mail Address:
  ___________________________________________
 
Signature:  ___________________________________________
 
Please send the completed form to:

DrugGeneric.com
14150 NE 20th St., Suite F1
Bellevue, WA 98007