Talent name

Email

Address

City

State

Zip

Vendor to be Paid $

Client

Invoice number

Project

Service Type
—Voice OverWriting ServicesAudio CleaningAudio Editing

Character

Amount Due $

Date submitted

Authorized By

Recording Location

Record Date

Record Time

Producer

Producing Organization

Hours Worked

Hours Assigned

Legal Guardian Name (If the subject is a MINOR under the laws of the state where modeling, acting, or performing is done)

Today’s Date

Notes

I hereby consent for value received and without further consideration or compensation to the use (full or in part) of
all videotapes taken of me and/or recordings made of my voice and or/written extraction, in whole or in part, of such
recordings or musical performance for the purposes of illustration, broadcast, or distribution in any manner. Talent
requires written consent from LMOH/CM to do business with the customer listed above.

I agree to the above terms of the talent release form