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AUTHORIZATION TO REPRODUCE PHYSICAL LIKENESS
AND STORY
For good and valuable consideration, the receipt of which from. Vfto	UJft\Ae.iO
HOWCO PRODUCTIONS INC.
is acknowledged, I hereby expressly grant to said_______
and to its employees, agents, and assigns, the right to photograph me and use my picture, silhouette and other reproductions of my physical likeness (as the same may appear in any still camera photograph and/or motion picture film), in and in connection with the exhibition, theatrically, on television or otherwise, of any motion pictures in which the same may be used or incorporated, and also in the advertising, exploiting and/or publicizing of any such motion picture, but not limited to television or theatrical motion pictures. I further give the said company the right to reproduce in any manner whatsoever any recordations made by said company, of my voice and all Instrumental, musical, or other sound effects produced by me. ^hiS auSWlZatltfl inciudeS all
rights to the story of my experiences with the so called Honey
I hereby certify and represent that I have read the foregoing and fully understand the meaning and
O 'C. fcA.
effect thereof and, intending to be legally bound, I have hereunto set my hand this-------sjLJJ---------day of
____cTftM	_____________ , 19H5-.
Monste
WITNESS: