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TM Model Release and Advertising Contract

“I” do hereby grant TM Media Corp. the irrevocable right to use the given photographs/voice recordings/video/digital media, and submitted information/text/phone numbers and other contact information (hereafter "Content") on the thatmall.com website for the purpose of advertising.

I certify that I am over 18 years old or of the legal age in my area, should this be higher. I certify that I am pictured in and have the legal right of use of all Content given to TM Media Corp. for the purpose of advertising my likeness on the thatmall.com website. I certify that I am in full legal possession of this content and all material provided to TM Media Corp. I further certify that all Content is produced in accordance with all applicable provisions of the Child Protection Restoration and Penalties Enhancement Act and are fully compliant with all requirements of 18 U.S.C.§ 2257 and all other applicable Federal, State and Local laws and regulations. If I am not the individual in the photograph(s) provided to TM Media Corp., I certify that I have full permission from the individual pictured to act as their representative and to request TM Media Corp. to place their likeness on the thatmall.com website for the purpose of advertising their image. I also understand that if the individual pictured wants these photos to be removed, TM Media Corp. has the explicit right to do so. I certify that all the individuals pictured or discussed in Content submitted fully understand that the submitted Content is to be used in relation to adult entertainment advertisement including publishing of the Content on the Internet. I certify that the advertising purchased is not to be used for promotion of any illegal activities. I certify that the identification (IDs) provided with this Model release are true legal documents belonging to and of the individual pictured in the photographs given to TM Media Corp, and I take full legal and criminal responsibility for this statement. I also understand that in case fraudulent documents were provided, TM Media Corp. upon discovery reserves the right to immediately remove any advertisements, and that no refund will be issued.

I understand all fees paid to TM Media Corp cover the required fees pertaining to the ad creation & ad placement on Thatmall.com Website only. If for any reason, I decide to discontinue my “Ad Run” on Thatmall.com, I understand I must submit my cancellation request in writing and that all “frequency discounts” I may have earned will be prorated to reflect the actual time period my ad ran. I also understand all payments are final once my ad run begins, and, all ad cancellations, for any reason, will be entitled to “Time” credit ONLY!


Advertising Info:

* Denotes Required Field
Category:
   
Priority Placement (optional):   
(Call for availability; These ads appear in the top 2-3 rows of certain categories.)
   
Time Contracted :
   
Type of Ad: Standard | Thumb | Other
   
Full Contracted Ad Rate:
   
 

 
Personal Info:  
   
E-mail (for billing, receipts etc):
   
* Full Legal Name:
   
Birthday (mm/dd/yyyy):
   
Drivers License/ID#:  Expiration:
   
* City:
   
* State:
   
* Phone : (All Advertisers must provide an alternative contact number in addition to the one being used in the advertisement).
   


 
Ad Content:
 
Category/Headline Text:
(Up to 9 words)
   
Text Body:
   
Contact Info:

Attach Documents: (Please limit individual file size to 500 kb or less. We WILL NOT accept photos that have ALREADY been blurred or cropped for privacy; we will blur or crop for you (free of charge) upon request.)

Photo 1:
Photo 2:
Photo 3:
Photo 4:
Verification Photo:

(All Advertisers must provide a full-length snapshot to verify.)

Drivers License/ID:

PLEASE either attach or fax to (323) 954-1618 A CLEAR COPY OF YOUR PHOTO ID WITH DATE OF BIRTH ON IT WITH THIS RELEASE FORM.

By clicking the send button below,

I certify that I have read the foregoing and fully agree to and understand the meaning and effect thereof, and have entered this advertising agreement of my own free will, and not under influence of any drugs or alcohol or duress or pretenses of purpose other than stated in this agreement. By clicking the send button below I fully understand it is considered as effective and valid as my original signature.