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Authorization and Release

The Graduate Center of The City University of New York produces and releases a variety of print and electronic images and recordings, including posters, brochures, photographs, online materials, videotapes and electronic media files.

First Name*

Last Name*

Email*

Phone*

Address - Line 1*

Address - Line 2

Submitter's Typed Signature'*

I hereby grant to the University nonexclusive permission to reproduce for educational or promotional purposes in any media forum, in whole or in part, photographs, videotapes and other media materials which may include my picture, image or voice. Agree