Photo Release Form Date Submitted: Full Legal Name: Mailing Address: City, State Zip: Area Code Phone: * Email Address: BT: I hereby release, for perpetuity, my photos to Northwest Picture Company to use as they deem fit within the scope of their business, to include, but not to be limited to, possible use in original or altered form on the www.northwestpicturecompany.com web site. I, futhermore, hold Northwest Picture Company non liable for the use, or non use, at their sole descretion, of any and/or all submitted photos.