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1. p^*^ ;a. ("the Project")PROJECT TITLE
DESCRIPTION OF CONTRIBUTION
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DATE OF FILMING/CONTRIBUTION
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NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
t"^MQ*,{" ("the Company")
NAME OF CONTRIBUTOR
5 "."1.^
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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 been fully explained to me, I heieby consent to the
filming and recording of my contribution to and participation in the project slbpct to the
terms and conditions specified below.
Signed by ontributor
Dated lUlo>) t+
CONTRIBUTORS RELEASE FQRM