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Get Nih Electronic Consent Form

And its designees or assignees, my consent to use, in whole or in part, my photographic image, as incorporated in the photograph/s submitted by: (Print Name Clearly) to the In Focus! Safe Workplaces for All photo contest, for the purpose of reproducing, distributing, displaying publicly, and/or modifying the photo by any means, whether in print or electronically, on a royalty-free, worldwide basis. In re.

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