Please print out a copy, fill in completely, sign and include with your photo submission. If you want your photos returned, be sure to include a stamped, addressed shipper as well.

NAME:___________________________________________________________________

ADDRESS:________________________________________________________________

CITY, STATE, ZIP:__________________________________________________________

COUNTRY:________________________________________________________________

E-MAIL ADDRESS:_________________________________________________________

NUMBER OF PHOTOS SUBMITTED:______________________

I certify that all the photos I have included have been taken by myself or a family member, or that I own the copyright. I also certify that these photos have not been published before.

I grant Tex Green permission to use my photography in "The Guinea Pigs' Poster", and any subsequent uses, including but not limited to promotional printed advertising and reproduction on the Internet.

I will receive no compensation for my photography, other than "byline" credit on the printed poster.

NAME (PRINT):_____________________________________  DATE:________________

SIGNATURE:_______________________________________

All photos become property of Guinea Pigs Online, and will not be returned unless a stamped, self-addressed shipping envelope is provided by the sender.