(DE-FI)ance Magazine: Photography Submission

(DE-FI)ance Magazine: Photography Submission
Section 1: Submitter Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section 2: Image Submission Details
Title of Editorial or Series (if applicable):*
Brief Description or Concept of the Submission:*
Upload High-Resolution Images (Minimum 300 DPI): (max 5 images per submission)*

Cancelof
Are these images previously published elsewhere? If yes, please explain.*
Section 3: Credits
Photographer Name:*
Photography Assistant (if applicable):*
Stylist Name:*
Hair Stylist Name:*
Makeup Artist Name:*
Nail Artist Name:*
Retoucher (if applicable):*
Model(s) Name(s):*
Model(s) Agency (if applicable):*
Clothing Credits / Stores or Designers featured:*
Additional Creative Credits or Collaborators:*
Section 4: Rights & Release Confirmation
Do you own full rights to all images submitted? If no,please explain your role and who owns the rights.*
Do you have permission from all parties listed in the credits to submit these images for publication?*

YesNo
Do you give Defiance Magazine permission to publish and promote these images in print, digital, and social media formats with proper credit?*

YesNo
Section 5: Liability Waiver & Signature
Legal Release & Liability Statement

I affirm that I am the rightful owner or have secured permission from all rights holders to submit the enclosed images and content. I certify that all information and credits provided are accurate to the best of my knowledge. I understand that (DE-FI)ance Magazine is not liable for any misrepresentation, copyright infringement, or credit disputes resulting from false or incomplete submissions. I grant (DE-FI)ance Magazine permission to publish these images with the listed credits and release them for editorial use across digital and print platforms. I understand this submission does not guarantee publication.
I agree and release (DE-FI)ance Magazine from any liability. Signature:*

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(DE-FI)ance Magazine: Photography Submission

Section 1: Submitter Information

Section 2: Image Submission Details

Section 3: Credits

Section 4: Rights & Release Confirmation

Section 5: Liability Waiver & Signature