In Memoriam Submission

Name(Required)
Address
Deceased Name(Required)
You can submit up to 4 photos. Please submit the highest resolution photos available.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
Max. file size: 100 MB.
I hereby authorize The Ehlers-Danlos Society to publish the submitted story and or photographs attached, for use in The Ehlers-Danlos Society’s print, online, and video-based publications.

I hereby release and hold harmless The Ehlers-Danlos Society from any reasonable expectation of privacy or confidentiality associated with the images specified above.

I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in Ehlers-Danlos Society marketing materials or other Ehlers-Danlos Society publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.

I hereby release The Ehlers-Danlos Society, its contractors, its employees, and any third parties involved in the creation or publication of informational or marketing materials, from liability for any claims by me or any third party in connection with my participation.
Terms and Conditions(Required)

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