Granny1.com

Granny Pixs Release Form

Looking for a secure and easily viewed way to share your little one's photos with family and friends. Eureka! Granny Pixs will feature your photo! Select the week of a birthday or other memorable event to showcase your darling! What a treat for everyone. Select a clear 4x6 or wallet size photo, complete a release form, and mail to Granny1, LLC with $5.00 to cover handling. Then just wait for your email notification of the dates your sweetie will star! P.S. Mark the back of your pictures with name and address and enclose a stamped addressed envelope and we'll even return it!

* Indicates a required field

*Release Statement
By my signature I agree to allow Granny1, LLC to display the photo I send on Granny1.com website.
I do not agree.

*Signature

*Date

Photo Data*First Name

*Age

*Talent

*First Name of Proud Granny

*State of Residence

Payment Method*Name on Card

*Card #

*Exp. Date

*Payment Type

Additional Information*Email Address

*Date Selected for Photo Display

*Photo Date Second Choice

You may be assured of total anonymity, since we NEVER use last names or any other identifying information. You may submit your form via email and then mail your photo separately or print the form and send all together to:
Granny1, LLC
108 Mollere Drive
Waveland, MS 39576
(228)463-1963 Fax
(800)399-3041
Thank you for allowing us the fun of sharing your treasured photo!

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