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Panasonic AG-HMC150 Product Manual page 22

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Talent release form
Date _______________________________________________________
Program ____________________________________________________
Producer ____________________________________________________
In consideration of your plan to produce the above captioned program and
as an inducement to permit me personally to appear on the cablecast of
the program, I hereby consent to the use of my name, likeness, pictures
and/or voice by you and your licensees for cablecasting, direct exhibition,
and subsidiary purposes. Such uses will not be made as will constitute a
direct endorsement by me of any product or service.
I hereby idemnify you and your licensees respecting my claim or action
against you, your licensees or your officers and agents, arising out of my
acts or statements out of the program.
Signature ___________________________________________________
Print name __________________________________________________
Witness _____________________________________________________
If minor, guardian _____________________________________________
Talent release form
Date _______________________________________________________
Program ____________________________________________________
Producer ____________________________________________________
In consideration of your plan to produce the above captioned program and
as an inducement to permit me personally to appear on the cablecast of
the program, I hereby consent to the use of my name, likeness, pictures
and/or voice by you and your licensees for cablecasting, direct exhibition,
and subsidiary purposes. Such uses will not be made as will constitute a
direct endorsement by me of any product or service.
I hereby idemnify you and your licensees respecting my claim or action
against you, your licensees or your officers and agents, arising out of my
acts or statements out of the program.
Signature ___________________________________________________
Print name __________________________________________________
Witness _____________________________________________________
If minor, guardian _____________________________________________
21

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