ChangeYourArt.Com, Inc

125 Rotunda Cir

Asheville, NC 28806

Phone: (828) 423-0103, Inc's

Copyright Release Form

Copy this form and email it to us.  Or mail completed signed copy with your order.





Name: ______________________________________________________

Address: ___________________________________________________

Phone: ________________________Email Address: _______________________

Description of Image (s): ________________________________________________


In order for to reproduce my supplied image(s) to one of its products I hereby certify that:

1)  I own the copyright for all images submitted for reproduction or I am authorized by the owner of the copyright in the image to allow to reproduce the image onto one of its products.

2) I agree to indemnify and hold Inc harmless from all liability, expenses and damages that they may incur as a result of fulfilling my order, including any claims brought by any other person claiming  an interest in the image (s) supplied or its subject matter.

Customer's Signature ___________________________________________________

Dated _______________________________________________________________