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TELEVISION-COMMERCIAL RELEASE FORM <br /> For good and valuable consideration, the receipt of which <br /> is hereby acknowledged, I hereby consent to the use of my <br /> establishment for the purpose of producing a video taped <br /> television commercial the use of these video tapes and/or <br /> recordings singularly or in conjunction with other photographs <br /> video tapes and/or recordings for advertising, publicity, commercial <br /> or other business purposes. I understand that the term "photograph" <br /> as used herein encompasses both still photographs and motion <br /> picture footage. <br /> I further consent to the reproduction and/or authorization <br /> by BARSTOOL PROMOTIONS to reproduce and use said photographs <br /> and recordings for use in all domestic and foreign markets. <br /> Further, T understand that others, with or without the consent <br /> of BARSTOOL PROMOTIONS may use and/or reproduce such photographs <br /> and recordings. <br /> I hereby release BARSTOOL PROMOTIONS , and any of its <br /> associated or affiliated companies, their directors, <br /> officers, agents, owners, employees and customers, and appointed <br /> advertising agencies, their directors, officers, agents and <br /> employees from all claims of every kind on account of such <br /> use. <br /> [Signature] <br />