Copyright Release Form for Photographs

TO __________________________________________________________________ (user)

FROM ________________________________________________________ (photographer)

RE ________________________________________ (photo) taken ______________ (date)

By receipt of this letter ___________________________________________ (photographer)

owner of ______________________________________, a professional photography studio,

grants _________________________________________________ permission to reproduce

__________________________________________________ (photo name and date taken)

one time only.

The photograph needs to be reproduced from what size _____________________________

to what size _____________________________ How many ____________

Purpose for photograph reproduction includes use in:

Website

Newspaper or Magazine

Business Cards

Flyers

Brochures

Other _______________________________________________________________

Any infringements of this policy may violate federal law.

Signed:____________________________________________________ (photographer/agent)

Date: ___________________

form courtesy www.businessownersideacafe.com