Anna Marie and Annie Delivering the Dough

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Date of Birth*

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Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Permission to Enter Premises*

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BY ENTERING THIS CONTEST AND PROVIDING THE BUSINESS NAME/ADDRESS YOU WARRANT YOU HAVE THE PROPER AUTHORITY TO GIVE PERMISSION AND GRANT ACCESS FOR EMPLOYEES OF STATION AND/OR SPONSOR TO ENTER THE PREMISES OF THIS WORK PLACE FACILITY IN ORDER TO DELIVER THE PRIZE. YOU FURTHER WARRANT AND GIVE PERMISSION FOR STATION, IF IT SO CHOOSES, TO CAPTURE PHOTOS AND VIDEOS OF EMPLOYEES AND/OR PATRONS VISITING THE BUSINESS AT THE TIME THE PRIZE IS AWARDED. YOU ARE ALSO GIVING THE STATION AND/OR SPONSOR THE IRREVOCABLE PERMISSION TO USE ANY PHOTOS AND/OR VIDEOS FOR ANY PURPOSE IT SO CHOOSES IN ANY MEDIUM NOW KNOWN OR HEREINAFTER CREATED WORLDWIDE AND IN PERPETUITY.

Delivering the Dough

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