AGREEMENT ON VIDEO WILD GARDEN FUNNIEST YOUTUBE VIDEO CONTEST Please

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AGREEMENT ON VIDEO WILD GARDEN FUNNIEST YOUTUBE VIDEO CONTEST Please fill in all information (print clearly), sign and mail to: Wild Garden Funniest YouTube Video Contest c/o Wild Garden 5400 W. 35th Street Cicero, IL., 60804 Date: _____________________ Your Name: _____________________________________________________________ Street Address: _________________________________________________________ City: ______________________________________ State: _______ Zip: __________ Tel: ( ) _____________________ Email: __________________________________ Producers Names (List all) Name of Video: _________________________________________________________ Describe video content: I affirm that I own all the rights to all content in the video submission, and all copyrights to all images, sounds, music used in the video and that I affirm that I am 18 years of age or older and a U.S. Citizen. Print Name: _____________________________________ AGE: ______________ Sign: ______________________________________________ Date: ___________ I affirm that I transfer all rights to Wild Garden to use this video submission in any way to promote the product. I understand that by submitting this video and signing this form, Wild Garden can use it and all information for promotion and publicity purposes. I understand that Wild Garden has the sole right to select the winner of the Wild Garden Funniest YourTube Video contest and may disqualify this and any video submission for any reason. You authorize Wild Garden to post the video on YouTube. Print Name: _________________________________________________________ Sign: ______________________________________________ Date: ___________ INSTRUCTIONS: In order to qualify for the $500 contest prize, you must meet the requirements below. Video Submissions must be no longer than 3 Minutes/180 seconds in length The ideal Video length is 60 Seconds, not including intro, trailer and any identification information on video. Format - Title Board (10 seconds) List Title of submission Name of Producers Date of production - Time Clock Countdown (download from web site) - Video submission (60 seconds max) - 5 seconds blank space - Closing credits (20 seconds) Content Must by funny Must be respectful Must not include profanity or any material deemed inappropriate (Wild Garden Reserves the right to reject any submission for any reason) Must be original Owner/producers must own all rights to all images, content, music, sounds in the video submission Must include a completed and signed entry form (above), and Talent Release for any individual(s) included in the video. Qualifications All submissions must be posted to YouTube or Google Video. Link to Video must be sent my email to rayhanania@comcast.net A DVD or CD copy of the video must be mailed along with the completed submission form If you remove the video from YouTube, it can be posted by Wild Garden. ###

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