Fashion Sample Responsibility Waiver

PR Agency Name:
Client Name:
Sample Description:
Date Issued:
Date Due / Return:

Waiver & Responsibility

By signing below, I acknowledge receipt of the aforementioned fashion samples and accept full responsibility for their care, safekeeping, and timely return in their original condition. I understand that I may be held liable for any loss, theft, or damage incurred while the items are in my possession. I agree to return all items by the date specified above unless otherwise agreed upon in writing.

I hereby release (PR Agency) and its affiliates from any claims or liabilities resulting from my possession or use of these samples.

Signature:
Recipient's Signature
Printed Name:
Date:
Agency Representative (Name & Signature):