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Checking the box below confirms my agreement with Pure Body Systems, LLC. , Integrative Cancer Answers and Dr. Nalini Chilkov (individually and/or together, ?Producer?) their heirs, distributees, successors and assigns regarding the disposition of my name, image, likeness, statements, testimonials and/or life history and other biographical material including, without limitation, the identification of the city and state where I reside, that I provide to Producer (collectively, the ?Testimonials?). In further for Producer?s services at Pure Body Systems, LLC., I hereby grant to the Producer a nonexclusive irrevocable worldwide license to use, adapt and modify and reproduce the Testimonials for use in connection with the website purebodysystems.com, integrativecanceranswers.com and www.integrativecanceranswers.com and other promotional materials across all media now known or created in the future that relate to Pure Body Systems, LLC. I acknowledge that Producer is the sole owner of all rights (other than my name, image and likeness) in and to the Testimonials for all purposes. I also warrant that I am eighteen years or older.

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