I give permission to Bey Scent and Candle Company to use my name in any and all publicity efforts. I understand that this is for online and print advertisement.
By signing this agreement, I relinquish any monetary claims, and agree to hold Bey Scent and Candle Company harmless for any liability arising from participation. I state that I have no conflicts of interest with the subject matter and that I enter into this agreement of my own free will.
Sworn to and subscribed by me this:
Your signature
_________________________________-
________________________ day of ____________, 2010
____________________________
NOTARY PUBLIC (signature)
Please return this affidavit to:
____________________________
Bey Scent and Candle Company
201 North 3rd St. Apt. 328
Allentown, PA 18102
