Release to Use Photo/Quote

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* 1. Enter Your Quote

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* 2. Upload Your Picture

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 3. Enter Your Information

Full Name

Workplace, Job Title and Local Union

Address

Personal Email Address

Phone Number

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* 4. I hereby authorize the AFSCME Council 28/WFSE to use my name, photo/video, signature or quotes in communications including direct mail, leaflets, website content, print or electronic media advertising, press releases or other medium. I understand that my quote may be edited for clarity

Yes

No