Release Form

SubmissionsFor Our USA Magazine, LLC






Entry title:____________________________________________________________________


Submitted by:________________________________________________________________



Mailing Address:______________________________________________________________

 Our USA Magazine Submission Release Form

I hereby grant permission to Our USA Magazine LLC, its sponsors, and its administrators to proofread, edit, and publish my entry with attribution in whole or in part, in any and all electronic and/or print media associated with Our USA Magazine.

I further affirm that my entry represents 100% original work produced by me, and is not a copy or derivative of any other person’s work. I freely submit these materials and content to Our USA Magazine with the understanding that they will not be returned to me, and may or may not be used in any way by Our USA Magazine.

Signed: ______________________________________________________________________

Date: ________________________________________________________________________

Please complete and attach with your email submission, or mail this form with your submission to:

Our USA Magazine Submissions PO Box 275, Leicester, NY 14481


Please copy & paste to your word processing program, complete, save, and attach to your email with your submission.

Your submission of written material or photographic images must be your own original work, and will not be returned to you.

Your submission may or may not be used in any Our USA media, including the printed magazine, and online on our facebook page, web site, or in Our USA promotional materials.