VA FOREIN Medical Services E.I.N -301168216 R.N.C-1-31-607748

   Secure Fax Number:980.216.6020           Secure Fax Number:980.216.6020

Photo Release Form

By checking this Option and signing below you certify that you hereby grant VA Foreign Medical Services permission to use and distribute your multimedia materal described below on a free basis for news and public-information purposes at VA Foreign Medical Services discretion. Such uses includes, but not limited to, posting the material on the VA Foreign Medical Services Multimedia Gallery Website ( therebymaking it generally available to such outlets asnews organizations, and the genral public) and distributing the material to other web sites for informational purposes. VA Foreign Medical Services agrees to post in the Multimedia Gallery any Restrictions stated on this form.

EXCLUSIVE
VA Foreign Medical Services has exclusive license to use Photo Supplied by the Veteran for sole use of Advertising for VA Foreign Medical Services on line through Social Medica, In brochures,or in newspaper adds and all other media types. VA Foreign Medical Services has the exclusive right to print the photo in any book,

TERM OF USE:
the copyright owner does not limit the length of time Photo can be used “in perpetuity,” VA Foreign Medical Services prohibit the copyright owner from revoking rights, granting permission “irrevocably.”

TERRITORY:
Your rights under a permission agreement have no geographic region or so called “territory.”
the owner of the work will not require payment the owner wishes to contribute to VA Foreign Medical Services for exposure for VA Foreign Medical Services for thier Services to Veterans!