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The Truck Thief - Movie Release

This Blanket Release ("RELEASE") is executed on the date indicated below in favor of Paul Howard Productions and / or The Truck Thief movie, it's agents, principals, assigns, successors, licensees, and any business entity with which Paul Howard Productions and / or The Truck Thief movie is affiliated or beneficially owns or may own any interest in whatsoever (collectively referred to as Paul Howard Productions and The Truck Thief movie ). I irrevocably and forever authorize Paul Howard Productions and / or The Truck Thief movie to publish in print or on the Internet, stream or download over the Internet, air on television, broadcast publicly and on the radio or deliver via the Internet, upload to and stream from YouTube, reproduce and distribute or sell on video, CDs or DVDs, MP3s, copy, manipulate, alter, display, exhibit, sell, license, lease, or convey in any way and at any time and any number of times and anywhere throughout the universe any or all images of me (and / or my property) or audio from me or about me (and / or my property). I am 18 years of age (or older) at the time I am signing this release or have a guardian signing on my behalf who is 18 years of age ( or older ). If submitting video that you own and authorize Paul Howard Productions and / or The Truck Thief movie to use, please clearly print your contact information, complete and sign this release, and mail it along with your video content to: Paul Howard Productions, Box 4000, Felton, CA 95018. All tapes received become the property of Paul Howard Productions and / or The Truck Thief movie. Tapes and video content will not be returned. Video content used in an episode produced by Paul Howard Productions and / or The Truck Thief movie may receive recognition in the show credits. No money shall be paid now or in the future for video used in any episode produced by Paul Howard Productions and / or The Truck Thief movie.

Age: ___________ Talent # ___________


Signed_________________________________________________Date_________________________

Name_____________________________________Driver's Lic. #______________________________

Address____________________________________________________________________________

City_________________________________ State_________ Zip______________________________

Contact Phone Number/s_______________________________________________________________

Witness Signature____________________________________________________________________

Witness Name_______________________________________________________________________

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