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Release Form: OMNITV will be airing some of the questions we receive. In order to do this we must have your approval. Please read the release form below. I hereby grant to OMNITV , your licensees, directors, officers, agents, representatives, employees and affiliates a worldwide royalty-free right to record, edit, use, reproduce, and distribute in any medium whatsoever including without limitation: television, online, electronic (such as CD-ROM), and to print the picture and sound material of myself taped by or for you; and to use my picture, testimonials (written or oral), voice, name, likeness, and biographical data in publicity and advertising concerning any such use of the material. I hereby acknowledge that the right granted to the Company herein includes, without limitation, the right to record, tape, reuse, display, distribute, transmit, publish, republish, alter without restriction, copy or otherwise exploit the Materials, in whole or in part, either digitally, in print, in television, radio or in any other medium now or hereafter known, for any purpose whatsoever and without restriction. I understand and agree that the Company may or may not use my name in conjunction with the Materials as it, in its sole discretion, may choose. I hereby waive all rights of inspection or approval regarding any use of the Materials. I agree to hold you, your licensees, directors, officers, agents, representatives, employees and affiliates harmless from any liability resulting from my statements and action on the tape and I release you from any claims that I may have at any time relating to use of the rights granted above. I understand that OMNITV is under no obligation to use in any way any of the material in which I appear. I have given nothing of value to OMNITV for the right to appear. I am over the age of 17 and have read and understood this letter. I agree that I will not have the right to seek injunctive relief to enjoin or restrain your exercise of the rights granted in this letter. I have granted this consent and release in consideration of your permission for me to participate in the recording of the materials. I Agree to the terms above and I attach my electronic signature to this form.

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