RAW MEDIA CO. MODEL RELEASE AGREEMENT

I hereby give permission to Raw Media Co. to use my name and photographic likeness (including any images of my property, construction design, interior design, property characteristics, etc.) in all legal forms and within any area of media and business for promotion and advertising, trade, exhibition, competition/s and/or any other lawful purpose.

I grant this photographer and all of Raw Media Co’s nominated agents the unrestricted right to use and/or alter any photographic images of me and others, for whom I may be signing on their behalf, that may be included from the signing of this document to hereafter for lawful purposes.

I release the photographer, Raw Media Co and their agent/s from all claims and liability relating to the use of photographic images bearing my likeness (and those who I sign on behalf on) and any text that may be used in conjunction with said images.

I understand that the copyright and all rights to the images taken and used remain in the possession of Raw Media Co. unless prior written approval from Raw Media Co. can be produced stating otherwise that releases any selected images from the previous copyright arrangement.

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

By selecting this box, you are acknowledging you have read and understood the information outlined above, and that you agree to the aforementioned terms and conditions. Ticking this box will act as an electronic signature and will act as if you have signed this document in person.

It will also confirm that the above details you have entered are true and correct and that the name and details of the person entered into this form is the same as the person who is signing.

Yes, I agree to the above conditions and confirm that the details entered previously are true and correct.

Date Signed

MM

DD

YYYY