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1. pRoJEcr t'[= 'T.*ol( (',the project,,)
DESCRTPTTON OE CONTRIBUTTON
DATE OF FILM ING/CONTRIBUTION
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
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, {i.,{i," I ..r* y'; ("the Company")
NAME OF CONTRIBUTOR
ADDRESS OF CONTRIBUTOR
TELEPHONE NUMBER OF CONTRIBUTOR
ln consideration of the Comp-any agreeing that I contribute to and participate in the project,
the nature and the content of which has bLen fully explained to me, t neieny consent to the
filming and recording of my contribution to ano pjrticipation in the project ilo;""t to the
terms and conditions specified below.
Signed by Contributor
Dated ri /Cl f :ii[