Use this form to submit your pets image for use in Harmony Veterinary Clinics digital media!
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By checking this box and submitting your photograph, you are declaring the digital image belongs to you and is not copyrighted. You also grant permission to Harmony Veterinary Clinic to use this digital image on their website, Facebook, or other digital/printed forms for public display, without compensation. By granting permission, you affirm that you are 18 years of age or older

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Please notify Harmony Veterinary Clinic in writing if you would like to withdraw your permission for the use of images at any time.
One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
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Enter the characters shown in the image.