FormAlan Landsburg Productions personal release form for 'AT LARGE' D.B. Cooper program19 January 19771 page
otherLegibility: high

Part 10, page 143

DB Cooper-1369

Document date 19 January 1977

Open in FBI Vault (Part 10, page 143 of the PDF)

FBI 164-81, Vault Part 10 p. 143 (DB Cooper-1369), Form, dated 19 Jan 1977 — cooper.theunsolved.net/parts/Cooper-Part-10/pages/143

Transcript

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Re: [obscured]ies "AT LARGE" Program D.B. Cooper

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Date 1/19/77

ALAN LANDSBURG PRODUCTIONS, INC. 110 North Doheny Drive Beverly Hills, Calif. 90211

Gentlemen:

I hereby grant permission to you to photograph me and record my voice, conversation, and sounds (either alone or with others) for and in connection with the above Program of the Series.

I agree to cooperate with you for such photography and re- cording and to participate, alone or with others, in inter- views, which are photographed and recorded hereunder.

You shall be the exclusive owner of the results and proceeds of such photography and recording, with the right, forever and throughout the world, to use all or any portion thereof. and reproductions thereof, and my name, voice, likeness, and biographical material concerning me, as well as editorial comments concerning me in the Program and the Series and in books and publications based upon or adapted therefrom, and in and in connection with the unlimited use and sale thereof, including theatrical, television, radio, vid[guess: eo]-cassettes, and any other form of use or sale thereof; and in the advertising, sale, publicizing, and exploitation thereof.

I hereby release and discharge you, and your assignees and licenseees, of and from any and all claims, demands, or causes of action that I may hereafter have against you, whether for libel, violation of my right of privacy, or any other matter arising out of or in any manner connected with the use and exercise of any of the rights granted you herein.

FBI Office SEQUENCE_______________ SIGNATURE [REDACTED b6/b7C] If Minor, parents or guardian must sign. NAME [REDACTED b6/b7C] (Print) ________________________________ ADDRESS [REDACTED b6/b7C] Parents or Guardian CITY/STATE [REDACTED] Oregon "AT LARGE" Personal Release 9/76 DB Cooper-1369 b6 b7C