Please read the agreement carefully and complete all lines. Lines with * are required. Use a separate form for more than five song submissions. Sign your full legal name, then click Submit. Thanks & Blessings to you.

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Agreement: In consideration of the possibility of your permitting my work to appear in the motion picture now entitled “The Diner” (the "Picture") and for good and valuable consideration as indicated below (the receipt and sufficiency of which I hereby acknowledge), I hereby grant to you the universal and perpetual right to use, and to grant others the right to use, vocal performance and my actual or simulated likeness, photograph, voice, personal characteristics and other personal identification in all manner and media whatsoever in, and in connection with, the Picture and any other promotional materials related to the Picture and/or my services and talents to produce same. I hereby release you from all liability and obligation to me of any and all nature whatsoever arising out of or in connection with the exercise of the rights granted above. I hereby indemnify you against all claims, liability and expense respecting this Release. I agree that I shall be entitled to no additional consideration as a result of the exercise of the rights granted herein and that you may rely upon this submission in preparing and exploiting the Picture. The words "you" and “your” as used herein shall mean “The Diner” Production company and its officers, Lazarus Filmworks, First Christian Films and its successors, assigns and licensees. Should my music and/or song(s) be included in the finished motion picture, I agree to accept as full and complete compensation for my participation in the Picture, a credit line in the closing credits of the movie and one DVD copy of the completed movie. If the performance is subsequently included on a soundtrack CD or available in any electronic outlet, I will receive 1/12th of the gross of all revenues derived from the sale of the same. I further agree to execute a printed hard copy of the foregoing should me work be selected. I understand the producers are under no obligation to include any of my work. For purposes of this submission, my electronic signature shall constitute my legal agreement to this submission. The foregoing refers to the following song submission(s):
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