Documentary Release Form v02

Contact details of Contributor:

Name ….....................................................................................

Address 1...................................................................................

Address 2...................................................................................

Address 3...................................................................................

City.............................................................................................

Post Code..................................................................................	

Phone:........................................................................................	

Email:..........................................................................................	

Date: ............................

Project Title: ….........................................................................(working title)

I agree to the inclusion of my contribution in this documentary, the nature of which has been explained to me.  I understand that my contribution will be edited and there is no guarantee that my contribution will appear in the final film. I agree that my contribution may be used to publicise the documentary.

I have agreed to accept ￡1.00 for the use of my contribution. This fee is payable on completion of the interview. 

I understand that this documentary (or part of it) may be distributed in any medium in any part of the world. 

My contribution has, to the best of my knowledge, been truthful and honest.  I have not deliberately sought to conceal any relevant facts from the makers of this film.

Signed …........................................
Spectacle Productions Ltd
Registered Office: No 25 99-109 Lavender Hill London SW11 5QL
Tel: +44 (0) 2072236677  info@spectacle.co.uk  www.spectacle.co.uk

Registered in England No: 274 7842 VAT Reg No: 608 0046 74