Media Release Form - Grasshopper

Media Release

Fill out our quick form regarding the use of your Company's logo and likeness.

Name

First Last

Phone

Company Name

Website

Consent

I authorize Grasshopper Bank the right and permission to use the Company's name as well Company's images, likeness(es), copyright(s), trademark(s), artwork, tagline(s), insignia, indicia, and/or logo(s) without limitation as to duration or frequency of usage in perpetuity, for any purpose, including but not limited to editorial, advertising, and promotion.

I have the full right and authority to enter into this agreement concerning the Company's name, images, likeness(es), logo(s), and/or signage and do not need the consent or permission of any other person, firm or corporation in order to use the Company name, images, likeness, logos, and/or signage as described above.

I hereby release Grasshopper Bank from any and all claims and demands arising out of or in connection with the use of the Company name, images, likeness(es), logo(s), and/or signage.

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