Innervision Magazine Consent Form
Please fill form for talent and content publication permission
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Are you currently on FACEBOOK?
Please Select
YES
NO
Are you currently on INSTAGRAM?
Please Select
YES
NO
Signature - by signing below you are giving the staff of Innervision Magazine, Intl. to publish your photo, stories, etc. relative to your interview. In addition, your story may be featured in our Anthology Edition. Thank you for your support.
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