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I, {Name}, hereby authorize the Producer and all of the Producer's representatives, assigns, licensees, agents, and employees to record, copy, duplicate, and/or videotape my likeness, image, voice, sound, and performance for any and all purposes, commercial or noncommercial, pertaining to {Project}.
I hereby authorize the Producer and agents to reproduce, edit, sell, display, produce, advertise, and promote all material bearing my appearance, voice, or likeness. I hereby transfer all rights, holdings, and titles of my appearance in {Project} to the Producer and {his/her} agents.
In return for my services, I have received {exchange} and will also receive {future exchange conditions}.
_________________________________________
(Authorizer's Signature)
_________________________________________
(Producer's Signature)
_________________________________________
(Date)
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