Photo Release

Recipient: Please Print out this form.
Please print or type information below and attach test photo or Polaroid


I, ________________________________________, authorize Nailite, Inc. to use
Name of builder or property owner

and/or take photographs of my home located at

____________________
Street Address
______________________
City
_________________________
State
________________
Zip Code

for print and advertisement purposes. I understand that professional photography will
be performed at no charge to me and that my name and address will remain confidential.
It is further understood that Nailite, Inc. and its representatives will retain
exclusive rights to the photos if my home is selected for use.

The telephone number I can be reached at is __________________________________.
I understand that a Nailite representative or local photographer will call me to schedule
the photo shoot of my property if my home is selected for use.

Authorized this __________________ day of
_______________________ , ____________
Day Month Year

PLEASE MAIL THIS FORM with your photographs to:
Nailite, attn: Marketing Department 1111 NW 165th Street, Miami, Florida 33169