.3

Print, fill out and provide to the printer.

This Authorization is effective only if signed by an authorized user of the CD.

The images on this CD are copyrighted photographs of Lifetouch Portrait Studios lnc. (?Lifetouch?), the licensed operator of JCPenney
Portraits. By signing this form. the user warrants that (s)he is authorized by all parties appearing in the images to possess and use the
images on the CD and understands and agrees to comply with the terms of the License Agreement printed on the CD jacket.

if signed by an authorized user, Lifetouch gives its permission to use. reproduce, distribute and display Lifetouch copyrighted images from

the CD for any lawful. personal, noncommercial purpose. For example, use of the image to create a business card, on a brochure or in a
newsletter is permissible. Using the image to create goods or services from the image for resale is prohibited.

Guest Signature Date - I 3

f? ?1 
Studio Number

 

Studio City [4 'l 0 Studio State 

. . . . (l2 l: 3' 7
Access Code/Portrait Number/Sitting Number (printed on CD)

 

Lifetouch Portrait Studios Inc.
JCPenney Portraits

11000 Viking Drive

Eden Prairie, MN 55344

1 -800-597-6453

Note: Federal and state copyright laws provide that the author of a work is the owner of it. Copying a work without the author?s permission
is a violation of the law. This is true whether or not the image contains a copyright notice on it. Lifetouch Portrait Studios Inc. (?Lifetouch?)
owns the copyright on the images and portraits taken by its photographers. Lifetouch is willing to give permission to the owner of the
Mylmages CD to copy/reproduce the images on the CD, only for the purpose described above. Any other copying is a violation of the
copyright law and may subject the violator to criminal and civil prosecution.

Lifetouch neither assigns its copyright nor waives its rights for any purpose other than those expressly contained in the License Agreement.

10006-55 Rev 1/2010