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Video Release Contract
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Video Rights Assigned to
Company Assigned To
Project Name
*
Location and Date
Date / Time
*
Date
Time
Time Zone
*
Pacific Time
Eastern Time
Mountain Time
Central Time
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
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Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
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New Hampshire
New Jersey
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New York
North Carolina
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Ohio
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
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Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Video Release Form Fields
Please fill in the fields below and click
"Continue to e-Signature Page"
to review the Video Release terms and digitally sign the agreement.
Name of Person Being Filmed
*
First
Last
Phone
Email
*
Name
Click to receive e-Signature Document