Model Release
Must Be 18 Years of Age or Older to Submit & Sign
MODEL RELEASE FORM I hereby give permission to Rebel 13 Kustom Kulture & Retro Magazine (Print & Website) to use my name and photographic likeness in all forms and media for advertising in regards to Rebel 13 Kustom Kulture& Retro Magazine, and any other lawful purposes, with only the Specific images submitted to Rebel 13 Kustom Kulture & Retro Magazine for the above mentioned and publishing.
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Clear
Please write a short Bio on yourself to accompany your photos.
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(Does not guarantee bio will be published)
Today's Date
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Full Name
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Date of Birth
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Must Be 18 years of age or older
Pinup Name
Name as to Appear in Magazine and on Website?
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Photographers Name?
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How name will appear in the magazine
Name Of Photoshoot being submitted?
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Please describe briefly?
* Due to high submission volume We cannot provide copies of the magazine to anyone.
Submit
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