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NATIONAL.APP
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1992-08-18
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******************************************************************************
This application is for Permanent Models who wish to be a part of K&S Soft-
ware's NATIONAL PROMOTION CAMPAIGN. To apply, fill out this application
completely. Enclose a full length photograph showing face and figure with
this application and mail it to:
K&S Software
P.O. Box 557052
Miami, FL 33255-7052
******************************************************************************
Personal Information (Not Released)
******************************************************************************
Model's Real Name:______________________________________ Age:_______________
Photographer's Name:____________________________________ Age:_______________
Daytime Phone ( ) - Best Time to Call:_______________
Topic of Modeling Desired:_______If other, name topic:______________________
1. Bikini's 2. Legerie 3. Sexy Outfits 4. Topless/Nude 5. All Listed
******************************************************************************
TO BE COMPLETED BY THE MODEL
******************************************************************************
PRINT LEGAL NAME:___________________________________________________________
Mailing Address:____________________________________________________________
City:____________________________State:________________Zipcode:_____________
Phone____________________________Best Time to Call:_________________________
Social Security #:__________________________________________________________
LEGAL SIGNATURE:_____________________________________DATE:__________________
Signature of Witness:________________________________DATE:__________________
Prefered Model Name:________________________________________________________
******************************************************************************
TO BE COMPLETED BY THE PHOTOGRAPHER
******************************************************************************
PRINT LEGAL NAME:___________________________________________________________
Mailing Address:____________________________________________________________
City:____________________________State:________________Zipcode:_____________
Phone____________________________Best Time to Call:_________________________
Social Security #:__________________________________________________________
LEGAL SIGNATURE:_____________________________________DATE:__________________
Signature of Witness:________________________________DATE:__________________
******************************************************************************
RELEASE DISCLAIMER
******************************************************************************
For good and valuable consideration, the receipt of which is hereby
acknowledged, I hereby consent to the photographing of myself and the
recording of my voice and the use of these photographs and/or recordings
singularlyor in conjunction with other photographs and/or recordings for
advertising, publicity, commercial or other business purposes. I understand
that the term "photograph" as used herein encompasses both still photographs
and motion picture footage.
I further consent to the reproduction and/or authorization by K&S SOFTWARE
to reproduce and use said photographs and recordings of my voice, for use in
all domestic and foreign markets. Further, I understand that others, with or
without the consent of K&S SOFTWARE may use and/or reproduce such photographs
and recordings.
I hereby release K&S SOFTWARE, and any of its associated or affiliated
companies, their directors, officers, agents, employees and customers, and
appointed advertising agencies, their directors, officers, agents and
employees from all claims of every kind on account of such use.
________________________ _______________
[Signature] [DATE]
******************************************************************************