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APPEARANCE RELEASE
Date: ________________________________
_______________________________
_______________________________
_______________________________
_______________________________
Re: “______________________”___________
Dear Producer:
For good and valuable consideration, receipt of which is hereby acknowledged, I, the undersigned, hereby grant to you, your licensees, successors and assigns the right in perpetuity throughout the universe to photograph, film, tape, exhibit, reproduce or otherwise record my physical likeness in any manner you desire, to use my name (or a fictitious name) and biographical data, and to record and reproduce my voice and other sound effects made by me for use by you in any medium in connection with the production and exploitation of the above-referenced motion picture (the “Picture”) or any derivative works thereof, for