MATERIALS RELEASE FORM [YOUR COMPANY NAME], respectfully requests permission to use which will become part of the television broadcast and/or video program entitled, produced by [YOUR COMPANY NAME]. This program will be recorded on video tape for later broadcast, as well as distributed on video. 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 [MONTH], [YEAR]: [NAME OF FIRM OR ORGANIZATION] Authorized By: Position: Address: City, State, Zip: Phone Number: (area code) Grow your video business with these proven products available at VideoUniversity.com! Professional Video Producer Home Study Course http://www.videouniversity.com/greatcourse Video History – Biography Business Kit http://www.videouniversity.com/biovideo Legal Video Specialist Business Kit http://www.videouniversity.com/legalvideo Wedding Video For Profit: A Business and Marketing Guide www.videouniversity.com/weddingvideo These are just some of the profit-making products available in our store. Visit www.videouniversity.com/shop/ Visit the site, email us at video@videouniversity.com or call us at (401) 253-2800 for more information.