1. qgxIElE r[pgg RE LEASE FoRM
PROJECT tflte fil,.tinse /no,g*^,, ne Pho tos(,,the project,,)
DESCRIPTION OF CONTRIBUTION
DATE OF FILMING/CONTRIBUTION
wfr 4/z /ts
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
("the Company")
NAME 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 heieby consent to the
filming and recording of my contribution to and participation in the Project suOlect to the
terms and conditions specified below.
TELEPHONE NUMBER OF CONTRIBUTOR
(*l Lt ti t0?C tr r q
ADDRESS OF CONTRIBUTOR
Signed by Contributor
