contributor release form.

1. CONTRIBUTORS RELEASE FORM
PRoJECT rtrle rJ OS hrq. &<.[ (,,the project,,)
DESCRIPTION OF CONTRIBUTION
DATE OF FILMING/CONTRIBUTION
NAME OF PRODUCTION COMPANYiORGANISATION RUNNING THE PROJECT
t{<r,l-'(n ?c, n*l^ ("the company,,)
NAME OF CONTRIBUTOR
/
)e* Ca{Pauv?<-{
ADDRESS OF CONTRIBUTOR
dea*tt Po.rf , Ro:t c"; Ro*o, u;.Utl trt"*"tton , ',UVt t rRI>
TELEPHONE NUMBER OF CONTRIBUTOR
o rq.o z 55e jKo'
ln consideration of the Company agreeing that t 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 anO pirticipation in the Project siOlect to the
terms and conditions specified below.
Signed by Contributor
Dated _$1 1 lT)ii