
print and fill out this page for your admission in to the production of our Commercial on 5/1/10
Name:
Address:
City, State, Zip:
Phone:
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I understand that I am to bring my own shoes and earrings and that I am responsible for my own items. Susan's Shoppe is not responsible for my personal items. I will conduct myself in a proper manner. If I do not show good sportsman-like conduct, then I will be asked to leave. Not all people coming to the filming Saturday will get to wear a dress. Some may look like they are "shopping". I understand that I will not receive any money for this production, but I will receive Coupons and Discounts for my participation. Susan's Shoppe has my permission to use my likeness in any and all promotions.
X_______________________________________________________________________ Date: ________________
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