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	For the good and valuable consideration of having my memory considered for inclusion on the Folgers.com website, sufficiency of which is acknowledged, I, on behalf of myself, and my successors and assigns, agree with and represent to The J.M. Smuckers Company and/or others working on their behalf and any publishers, or other interested media as follows: I hereby give permission, irrevocable and in perpetuity, to reproduce, copy, publish, broadcast, or otherwise use my name, statements, email or any material based upon or derived from them, and my photograph should I elect to post it, in any media whatsoever throughout the world, including, without limitation, for any and all advertising, promotion and other purposes of trade. This permission includes the title and interest and all residual interests in and to said copyright in the testimony/story and any renewals and extensions thereof. If I elect to post my photograph on the website, I hereby acknowledge that the selection and content of the photograph including clothing and any visible items did not involve any direction or input from J.M. Smuckers Company. I agree that I shall have no right of approval, no claim to additional compensation or benefit, and no claim (including, without limitation, claims based upon invasion of privacy, copyright infringement, defamation, or right or publicity) arising out of any use or any editing, distortion, alteration, optical illusion, or use in partial or composite form, whether or not intentional, or a claim based on the testimony having not been used in Folgers® advertising. I am not a professional actor. To my knowledge, neither my name, voice or likeness has been included in any advertising material. I am now a bona fide user of Folgers Gourmet Selections™. The statements I have made concerning Folgers Gourmet Selections were made without any prior payment or promise of payment or any other benefit having been made to me and without any expectation by me of any payment or benefit in return for making such statements. The statements made by me reflect my true and honest opinion of and experience with Folgers Gourmet Selections. I am over 18 years of age and have the right to enter this agreement. I AGREE I DISAGREE
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