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Release Form - Authorisation to Use Business Name, Product, Trademark
For good and valuable consideration, the receipt of which is hereby acknowledged, Company (defined below)
hereby gives permission to Filmmaker (defined below) and its successors, assigns, and licensees, to use the
Company’s name as well as Company’s product(s), product likeness(es), copyright(s), trademark(s), artwork,
tagline(s), insignia, indicia, and/or logo(s) (collectively Product Likeness) in the Video (defined below), and any
versions or edits thereof, produced by Filmmaker which Video may be displayed and/or broadcast for any
purpose in any and all media throughout the World, without limitation as to duration or frequency of usage,
in perpetuity and royalty free, for any purpose, including but not limited to editorial, advertising, and
promotion.
It is understood that Filmmaker shall have the right but not the obligation to make use of the Company name,
images, likenesses, logos and/or signage and/or Product Likeness as permitted hereunder.
Company hereby waives any rights to inspect and/or approve the Video incorporating the Name and/or
Product Likeness.
The undersigned hereby warrants and represents that he/she has the full right and authority to enter into
this agreement concerning the Company name, images, likenesses, logos and/or signage and Product
Likeness and that Filmmaker does not need the consent or permission of any other person, firm or
corporation in order to use the Company name, images, likenesses, logos and/or signage and/or Product
Likeness as described above. Company hereby indemnifies and agrees to hold Filmmaker and its parent,
affiliate and subsidiary companies, and their respective officers, directors, shareholders, employees, agents,
contractors, licensees, successors, and assigns free and harmless from and against any and all loss, costs,
liability, damages, or claims of any nature including, but not limited to reasonable attorney’s fees, arising
from, growing out of, or concerning a breach or alleged breach of the above warranties and representations.
Date: ___________________________________
Signature of Authorised Company Representative ___________________________________
Title of Authorised Company Representative ___________________________________
Print Name of Company ___________________________________
Company’s Email & Physical Address ___________________________________
Signature of Filmmaker ___________________________________
Print Name of Filmmaker ___________________________________
Title of Video ___________________________________
Important: Attach a scan/photo of Artist’s driver’s license or passport for age & identity verification. This
Release Form template must not be modified or edited in any way. Read this FAQ for steps to upload.