By submitting this form I/we acknowledge that I/we own the image/video submitted and hereby authorize AFS-USA Inc. to use the photo/video and/or reproduction of the photo/video including the individuals in the photo/video and/or the property in the photo/video. This includes the following media [and others not specifically mentioned] for the purpose of our services: brochures, flyers, and other collateral materials, newspaper and/or magazine advertising, direct mail campaign, annual report, and electronic media.