SEIU 1021 Photo/Video Release
Yes, I give my permission for any and all photographs or video which you have taken of me, along with my quote below, to be used in whole or in part by SEIU.
Name
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First Name
Last Name
Personal email
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example@example.com
Cell phone number
By providing your cell phone number, you consent to receive occasional text messages from SEIU 1021. We will never charge you, but your carrier's standard data rates my apply. You may opt out at any time by replying STOP.
Employer
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Quote or notes
I consent and authorize the use and reproduction by you or anyone authorized by you, of any and all photographs, video which you have taken of me, along with my quote below, in whole or in part, for use in SEIU publications, websites, videos and any other media. I waive any right that I may have to inspect or approve the finished product or products or printed matter that may be used in connection with my photographs, video and/or quote or the use to which they may be applied.
*
Yes, I consent.
Signature
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Submit
Should be Empty: