Image Copyright Disclosure Form

I do hereby represent and warranty to iHelp Connect that the photographic materials that I convey to iHelp Connect are neither copyrighted materials, nor do they contain any copyrighted materials of any third party.

Check one:
(  ) The use of such material does not violate the rights of any such third party.

(  ) I have express written permission to use, disseminate and/or reproduce such materials for either commercial or personal use.

Further I shall indemnify and hold iHelp Connect harmless from any and all claims based upon the use of such photographic materials, including third party claims upon copyright infringement. iHelp Connect shall not be liable on any claim of any kind, regardless of the theory of liability employed.

Customer Signature: _________________________________________________

Print Name: ________________________________________________________

Address: ___________________________________________________________