ChangeYourArt.com, Inc's

Copyright Release Form

Copy this form and fax or email to us.  Or mail completed signed copy with your order.

Mail To:  Changeyourart.com, 125 Rotunda Circle, Asheville NC 28806

Fax: 866-509-9099

Email: Changeyourart@aol.com

Name: ______________________________________________________

Address: ___________________________________________________

Phone: ________________________Email Address: _______________________

Description of Image (s): ________________________________________________

In order for ChangeYourArt.com to reproduce my supplied image(s) to one of its products I hereby certify that:

1)  I own the copyright for all images submitted for reproduction or I am authorized by the owner of the copyright in the image to allow ChangeYourart.com to reproduce the image onto one of its products.

2) I agree to indemnify and hold ChangeYourArt.com Inc harmless from all liability, expenses and damages that they may incur as a result of fulfilling my order, including any claims brought by any other person claiming  an interest in the image (s) supplied or its subject matter.

Customer's Signature ___________________________________________________

Dated _______________________________________________________________