1. PROJECT TITLE ("the Project")
DESCRIPTION OF CONTRIBUTION
DATE OF FILM ING/CONTRIBUTION
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNTNG THE PROJECT
("the Company")
NAME OF CONTRIBUTOR
I
ADDRESS OF CONTRIBUTOR
ln consideration of the Company agreeing that I contribute to and participate in the project,
the nature and the content of which has been fully explained to me, I hereby consent to tne
fitming and recording of my c6ntribution to anO pirticiilation in the project slOpct to the
terms and conditions specified below.
TELEPHONE NUMBER OF CONTRIBUTOR
Signed by Contributor
Dated
CONTRIBUTORS RELEASE FORM
DePrle( " t7
