Your Name *

First Name

Last Name

Business Phone *

(###)

###

####

Business Address *

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Agree/Acknowledgement *

Please indicate if you acknowledge. The photographer or person or business completing this questionnaire agrees there will be no additional compensation for participating in submitting an article for this magazine.

I agree/acknowledge

Agree/Acknowledgement *

I agree/acknowledge not to hold SHARON The Magazine/Sharon Wallace Photography responsible/liable for any legal ramifications in response to this submission.

I agree/acknowledge

Agree/Acknowledgement

I agree/acknowledge I am the owner/legal representative of the business submitting.

I agree/acknowledge

Business Contact Information Publication *

I agree/acknowledge my business contact information will be published and will not hold SHARON The Magazine/Sharon Wallace Photography responsible for any liability from publishing this business/personal information.

I agree/acknowledge

Submission/Edit *

I agree/acknowledge SHARON The Magazine/Sharon Wallace Photography may need to alter , omit or edit the information submitted. I agree/acknowledge edits will be done in good faith and for formatting/publishing reasons and that I will not be receiving any revisions via email or any other method prior to publication.

I Agree/Acknowledge