1. aaxTRTBUTORS RELEASE FORM
PRoJECT Ttrlr_ 6ilai:r, s e Ph,:io I i^ uof ("the Project")
ADDRESS CONTRIBUTOR
DATE OF FILMING/CONTRIBUTION
zl lol q
NAME OF PRODUCTION COMPANY/ORGANISATION RUNNING THE PROJECT
l'lenF Porh,
/K.rrtcs
fl^rtrs (,,the company,,)
DESCRIPTION OF CONTRIBUTION
NAME OF CONTRIBUTOR
nl,
^h,srn
TELEPHONE NUMBER OF CONTRIBUTOR
O7,a Sc s 11 7e p
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 anO pirticipation in the project slUlect to the
terms and conditions specified below.
Signed by Contributor
