Modelo de Termo de Autorização de Uso de Imagem

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<meta content="text/html; charset=UTF-8" http-equiv="content-type"></head><body class="c1"><p class="c7"><span class="c0">TERMO DE AUTORIZAÇÃO DE USO DE IMAGEM</span></p><p class="c3"><span></span></p><p class="c6"><span class="c0">Eu, ____________________________________________________(nome do modelo), ______________________ (nacionalidade), ______________ (estado civil), portador do RG nº ______________, inscrito no CPF/MF. sob nº ____________________, residente à Rua___________________________, nº _______, na cidade de __________________, </span><span class="c0 c8">AUTORIZO </span><span class="c0">o uso de minha imagem em todo e qualquer material entre fotos, documentos e outros meios de comunicação, para ser utilizada em redes sociais, website, portfólio, entre outras de caráter não comercial, sejam essas destinadas à divulgação ao público em geral e/ou apenas para uso interno do “Estúdio SUA EMPRESA “, desde que não haja desvirtuamento da sua finalidade.</span></p><p class="c6"><span class="c0">A presente autorização é concedida a título gratuito, abrangendo o uso da imagem acima mencionada em todo território nacional e no exterior, em todas as suas modalidades e, em destaque, das seguintes formas: (I) out-door; (II) busdoor; folhetos em geral (encartes, mala direta, catálogo, etc.); (III) folder de apresentação; (IV) anúncios em revistas e jornais em geral; (V) home page; (VI) cartazes; (VII) back-light; (VIII) mídia eletrônica (painéis, entre outros).</span></p><p class="c6"><span class="c0">Por esta ser a expressão da minha vontade declaro que autorizo o uso acima descrito sem que nada haja a ser reclamado a título de direitos conexos à minha imagem ou a qualquer outro, assino a presente autorização.</span></p><p class="c3"><span></span></p><p class="c6"><span class="c0">CIDADE, ____ de ________________, de 2014.</span></p><p class="c3"><span></span></p><p class="c3"><span></span></p><p class="c6"><span class="c0">_______________________________________________________</span></p><p class="c6"><span class="c0">Nome do modelo ou responsável legal:</span></p><div><p class="c2"><span class="c5">Rua XXXXXX, XXXX – BAIRRO | CIDADE | ESTADO</span></p><p class="c2"><span class="c5">EMAIL | +55(XX)XXXX-XXXX</span></p><p class="c2"><span class="c5">WWW.SEUSITE</span></p><p class="c2 c4"><span></span></p></div><script data-no-optimize="1">!function(t,e){"object"==typeof exports&&"undefined"!=typeof module?module.exports=e():"function"==typeof define&&define.amd?define(e):(t="undefined"!=typeof globalThis?globalThis:t||self).LazyLoad=e()}(this,function(){"use strict";function e(){return(e=Object.assign||function(t){for(var e=1;e<arguments.length;e++){var n,a=arguments[e];for(n in a)Object.prototype.hasOwnProperty.call(a,n)&&(t[n]=a[n])}return t}).apply(this,arguments)}function i(t){return e({},it,t)}function o(t,e){var n,a="LazyLoad::Initialized",i=new t(e);try{n=new CustomEvent(a,{detail:{instance:i}})}catch(t){(n=document.createEvent("CustomEvent")).initCustomEvent(a,!1,!1,{instance:i})}window.dispatchEvent(n)}function l(t,e){return t.getAttribute(gt+e)}function c(t){return l(t,bt)}function s(t,e){return function(t,e,n){e=gt+e;null!==n?t.setAttribute(e,n):t.removeAttribute(e)}(t,bt,e)}function r(t){return s(t,null),0}function u(t){return null===c(t)}function d(t){return c(t)===vt}function f(t,e,n,a){t&&(void 0===a?void 0===n?t(e):t(e,n):t(e,n,a))}function _(t,e){nt?t.classList.add(e):t.className+=(t.className?" 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