Please print out this release form, fill it out, and mail it to:
The Clover Family Historical Society
% June Clover Byrne
344 Chelsea Place Ave
Ormond Beach, FL 32174
Contact Junebyr@yahoo.com if you have questions about this.
RELEASE
For the good of the genealogical community, I hereby
consent to the use of research, notes, group sheets, photographs, records, and
other items collected by me, and sent to the Clover Family Historical Society. I
also consent to the publication and/or authorization for publication of any of
this material sent to the Clover Family Historical Society or its
representative, June Clover Byrne.
Further, I understand that others, with or without the consent of the
Clover Family Historical Society, may reproduce or publish this material. I understand
that it is not within the power of the Clover Family Historical Society or its
representatives to prevent literary piracy by other entities or individuals.
I hereby release the Clover Family Historical Society and any of its
associated or affiliated companies, their directors, officers, agents, employees
and customers, and appointed advertising agencies, their directors, officers,
agents and employees from all claims of every kind on account of such use.
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[Signature] [Date]
Address:
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Telephone number ______________ Email Address:
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