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Location Release Form
LOCATION & NAME RELEASE
In exchange for consideration received, I hereby give permission to Anwar Armstrong, WWW.UPSTATEHIPHOP.COM, and it's staff to use the name and photographic likeness of the location(s) specified below in all forms and media for advertising, trade, and any other lawful purposes.
Print Name: _
Company Name:_____________________
Surname:___________________________
Location(s):_________________________
Signature: ____
Contact Information for signed:
Address:___________________________________
___________________________________
___________________________________
Phone: ___________________________________
Date: ________
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