Please print out this FORM, ensure it is fully completed and signed.

This release is written between ___________________________________________
                                                                            (PRINT your full name)

and J&N Infolink Ltd trading as GayNZ.com

Date: ______________________________ (Please print current date)

MODEL INFORMATION ( All information is in the strictest confidence)

Full Name:______________________________________________________________

Address:________________________________________________________________

_____________________________________________________________________

Country of Birth:____________________________________

Telephone:_________________________________________

E-mail:____________________________________________________________


Birthdate:________/_________/_________  (dd/mm/yy)

Agreement:
The Model by undersigning agrees to and fully understands the following: