RUBY Award Questionnaire

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Presented by 1st State Bank

RUBY AWARD QUESTIONNAIRE

  • STATEMENT OF RELEASE

    I GRANT 1ST STATE BANK, ITS REPRESENTATIVES AND EMPLOYEES THE RIGHT TO TAKE PHOTOGRAPHS OF ME IN CONNECTION WITH THE ABOVE IDENTIFIED SUBJECT. I AUTHORIZE ITS USE AND PUBLISH THE SAME IN PRINT AND/OR ELECTRONICALLY. I AGREE THAT 1ST STATE BANK MAY USE SUCH PHOTOGRAPHS OF ME WITH AND WITHOUT MY NAME AND FOR LAWFUL PURPOSE. INCLUDING FOR EXAMPLE SUCH PURPOSES AS PUBLICITY, ILLUSTRATION, ADVERTISING, AND WEB CONTENT.

 

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