Standard Materials Release printable pdf download

Standard Materials Release

STANDARD MATERIALS RELEASE

_________________________ , respectfully requests permission to use

which will become part of the television broadcast and/or video program entitled,

_________________________ produced by _________________________ . This program

will be recorded on video tape or film for later broadcast, as well as distributed on

video or DVD or film.

Full credit would be given to ______________________________at the close of the show

in which this video is used.

We sincerely hope that you will grant us the permission requested, and will indicate

such by signing and returning this form. Your prompt and courteous consideration of

this request is very much appreciated.

Permission granted this ____ day of _______________________________ by:

Firm, Organization or Individual: ____________________________________________

Authorized By:________________________________________

Position:______________________________________________

Address:______________________________________________

City, State, Zip: _______________________________________

Phone Number: _______________________________________

Standard Materials Release