Agreement entered into this____ day of _________, 20___. by and between ___________________ (“Company”) and _______________ ('"Grantor”).

1.Grantor hereby agrees to permit company to use the property located at________________________________________________ ("Property") in connection with the motion picture currently entitled Roll Call ("Picture") for the purpose of rehearsing, photographing, filming and recording scenes and sounds for the Picture, Company and its licen­sees, assigns and successors may exhibit, advertise and promote the Picture or any portion thereof, whether or not the foregoing contain audio and/or visual reproductions of the Property and whether or not the Property is identified, in any and all media and manners which currently exist or which may exist in the future in all countries of the world and in perpetuity.

  1. Company shall have the right to bring personnel and equipment (including props and temporary sets) onto the Property and to remove same after completion of its use of
    the Property hereunder. Company shall have the right but not the obligation to photograph, film and use in the Picture the actual name, if any, connected with the Property or to use any other name for the Property. If Company depicts the
    interior(s) of any structures located on the Property, Grantor agrees that Company shall not be required to depict such interior(s) in any particular manner in the Picture.

  2. The permission granted hereunder shall be for the period commencing no earlier than___________________ and continuing for such reasonable length of time as may be necessary to complete all required scenes and work, taking into account changes in production schedule and weather conditions. The within permission shall also apply to future retakes and/or added scenes.

4. Company agrees that in the event it becomes necessary to change, alter or rearrange    any equipment on the Property belonging to Grantor, Company shall return and restore said equipment to its original place and condition.

In the event the carpet on the Property is dirtied by Company, Company agrees to pay for the reasonable cost of steam cleaning it. Company agrees to indemnify and hold harmless Grantor from and against any and all liabilities, damages and claims of third parties arising from Company's use hereunder of the Property, unless such liabilities, damages or claims arise from breach of Grantor's warranty as set forth in the immediately following sentence. Grantor hereby warrants that it has the right and authority to enter into this Agreement and to grant the rights granted by it herein. Grantor agrees to indemnify and hold harmless Company -from and against any and all claims relating to breach of its aforesaid warranty.

5. The undersigned represents that he is empowered to execute this Agreement on behalf of Grantor.

IN WITNESS WHEREOF, the parties have hereunto set their names and signatures.


WITNESS:                                                                          GRANTOR:


By: _________________________                                       __________________________________



                                                                                         By: ______________________________