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PRINTED NAME OF INDIVIDUAL PARTICIPATING
___To Be Determined - Summer 2010________________________________________
PRODUCTION DATE
___Travis Co., Texas, USA,________________________
PRODUCTION LOCATION
I hereby release all organizations and individuals involved in the production of the program(s) as listed above from any privacy, defamation or other claims I may have arising out of the cablecast or promotions of the above listed program(s)
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Signature Date
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Address City State Zip
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Phone (Day) Phone (Evening) Email Address
JCI World Corporation 512-662-7461
For Scheduling of programs go to: http://jciworldnews.com