Location Release pdf

LOCATION PERMISSION FORM

Location: Thamesmead/ House

Date:1/1/12

Production Title: Lucozade Advert

Lucozade Advert request permission to use any footage filmed at the above location in any programme defined as broadcast or non-­‐broadcast or commercial exploitation by a client.

Lucozade undertakes to abide by any directions from the management of the above location with regard to filming positions/ health and safety/ audience safety.

Yours faithfully.

Signed on behalf of Lucozade

Sign:……………………………… Date: 01/01/12

Signed on behalf of the above location:

Sign:……………………………… Date: 01/01/12