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HAYDON

MEDIA

Film Location Release Contract Production Title: Nine Lashes Get Back Cover Video Producers Name: Corey Mason-Seifert Location(s) Requested: Haydon Drama Studio This document is to confirm the agreement between the producers (see above) and [owners name] of [location address], to make available to the producers the following premises (the location): [full address of location]. 1) The location shall be made available to the producers in connection with the production [name of production] on/between [date(s) of filming and setup]. 2) The producers have notified you of the scenes which are to be shot at the location, and you confirm and agree that you consent to the filming of these scenes, and you confirm that you will not make any objection in the future to the location being featured in the production. 3) The location shall not be represented under its real name within the body of the production, but will be credited as such during the productions credits. 4) The producers shall be entitled to incorporate all photographs and recordings, whether audio or audio-visual, made at the location on [filming dates], in the production as they may require, at their sole discretion. 5) The producers shall not make any structural alterations to the location. 6) The producers shall treat the property with respect at all times. Please signify your acceptance of the above terms by signing and returning this form to the producers.

SIGNED: M.Fisher

DATED 22/02/2013

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