Online Release Form

IMAGE RELEASE

Home || Catalogs || Special || Free Catalog || Sales Policy || FAQ || Release Form

To Whom It May Concern:

Please complete and return this form to obtain permission to utilize or reproduce our photos from our Catalogs for the purpose of selling or promoting our merchandise in still adds or on the internet. It is required to show the pertinent logo or type written name TONY SHOES, TONY’S WEAR or Anthony's within the image or site. We would also require that our images not to be shown on the same page or screen as any novelty item.

We would like to remind you that we reserve the right to review your website at any time, to insure proper presentation of our merchandise. We must be able to review your website prior to sending out our CD.

APPLICATION DATE:

COMPANY NAME:

CONTACT NAME:

Your URL (Web address):

E-MAIL ADDRESS:

ADDRESS:

CITY:

STATE:

ZIP CODE:

COUNTRY:

TEL:

FAX:

CHOOSE YOUR OPTIONS CHECK A BOX

Buy CD-/Download Catalog Scanning FREE

Anthony's Collection CD-ROM Volume 4 - (20 Pages)

Jewelry Collection CD-ROM Volume 21 - (12 Pages)

Christmas Collection Download 2007

Flag Collection Download 4th of July

Tony Shoes Collection Volume 20

Dancewear Collection Download Volume 22 - (36 Pages)

Specials Flyer Specials 2006-2007 - (12 Pages)

The Price for the Tony Shoes & Anthony's collection 6 Volumes

(CD-ROMs and downloads)
$50.00

If you choose an option other than the catalog scanning, Please fill up the rest of the form completely so we can process your order.

Cardholder Full Name:

Billing address (if different):

City:

State:

Zip Code:

Country:

Credit Card #:

AMX users Please include: 4 digit on the top right side of the card

Expiration Date:

Sincerely,

Greg Avakian

General Manager

Please fill up the form completely, if you have any question contact our customer service.