General Information:

Agency Name:

Client:

Product:

Commercial ID Number:

Commercial Title:

Client PO Number:

Client Job Number:

Estimate Number:

Additional One Year Use Start Date:

 

Check this box only if you are compensating the talent

    (If you checked the box above tell us how much you are paying the talent)

 

Pay the talent one session fee at current scale rates

OR

Pay the talent as indicated below

                Talent Name                                    Amount 

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        2.       

        3.       

        4.       

        5.       

        6.       

        7.       

        8.       

        9.       

      10.       

Check this box if you are not compensating talent.

 

Notes:

 

Submitted and Authorized by: