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PERMISSION FORM

My name is:

________________________________________________
(please print)

I give my permission for my child:

_____________________________________________
(child's name)

To enroll as a member on the eMerchandise.com retail site, and give personal information to The eMarket Group, Ltd.

I can be reached via phone to confirm my consent at:

(_______) _______________________.

I can be reached via e-mail to confirm my consent at

_________________________________________.

I granted this permission on (date):

______________,
by my signature (please sign):

_________________________________.