速卖通假发模特肖像权授权书2017Word文档下载推荐.doc

1、姓 名Name国籍Country年 龄Age性 别Gender联系电话Phone No.电邮地址Email 通讯地址Address邮政编码 Post Code授权申明Authorization Statement 本人同意由 XXXXXXXXXXXXXXXXXXXXXXXXX为我拍摄相片，并可使用我的肖像。 I agree XXXXXXXXXXXXXXXXXXXXXXXXXXX Limited Company to take photos for me and use my portrait.本授权仅适用于XXXXXXXXXXXXXXXXXXXXXXXXX有限公司XXXXXX品牌用于杂志广告，

2、报刊广告，户外广告，样相展示，网站 等合法用途。在此前提下，肖像的使用不必再经过我的许可。This Authorization is valid only for XXXXXXXXXXXXXXXXXXXXXXXXXXXX Limited Company brand of “XXXXXX” with the purposes of magazine advertising, newspaper advertising, outdoor advertising, sample display, website, etc. Under this premise, the use of the portrait does not have to go through my permission.身份证或护照复印件（Photocopy of ID Card or Passport）:肖像权所有人签名（signature）: 年（Age） 月（Month） 日（Day）