Consent to Use of Photograph
I voluntarily and without compensation authorize IGI Global to use my photo likeness along with my
name for purposes of company promotion and marketing. I understand that no royalty, fee or
compensation shall be provided for this use and verify that my consent is voluntary. I further
understand that at any time I may, by written instrument to human resources, exercise the right to have
my photograph removed.
I have read and understand the above and I consent to all terms:
Name: ______________________________________________
Signature: ___________________________________________
Date: ______________________________________________
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