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Please carefully read the terms and conditions below. Once you have read them, check the box at the bottom to show that you accept them.

Terms And Conditions
I hereby give my permission to Emerald Bay Publishers Inc. to print my ad and / or photo in its publications (both in printed magazine form and online). I agree not to hold Emerald Bay Publishers Inc. or any of its owners, staff or agents responsible under any circumstances for any action which occurs as a result of the publication of this advertisement. I understand that my right to advertise and correspond with the aid of this publication is protected and ensured by the First, Fourth, Fifth and Ninth Amendments to the United States Constitution. I am not an officer of the law of the federal, state or local government using correspondence and / or advertising for the purposes of entrapment. I certify that I am 20 years of age or older and are complying with all federal, state and local laws statutes and regulations. I understand that the confidential information on this form is for the internal use of Emerald Bay Publishers Inc. and will not be sold, bartered, or donated without my written permission. Under Penalty Of Perjury, I/We Certify To Be 20 Years Of Age Or Older And All Materials Including Photos And Personal Information To Be True, Accurate And Of Oneself.

I have read and agree to the above terms and conditions and certify that I am at least 20 years of age.