Video Session Booking Form

Name

First NameLast Name

E-mail

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Can Benji / Reel Filmiliar switch your session date in case of double booking,?

Session Date & Time

MonthDayYearHourMinutesAM/PM Option

Number of People in Session

Your vision for the song you had in mind.

Type of Session

Note to Director

MODEL RELEASE: I have read and agree to the following statement: I commission Reel Filmiliar LLC, the Director, to record myself and/or my spouse and/or underage children. I hereby grant and understand that Reel Filmiliar LLC may use my videos (but not limited too) social media/advertisement etc., and there will be no compensation to the above.

COPYRIGHT & POLICIES: As a client of Reel Filmiliar LLC, I acknowledge and understand that the images taken by Reel Filmiliar LLC, said VIDEOGRAPHER; are protected by Federal Copyright Laws. I understand it is ILLEGAL to scan, copy, print or reproduce without VIDEOGRAPHER's permission, and violators of this Federal Law will be subject to its civil and criminal penalties. A limited PRINT RELEASE is supplied with the purchase of my session, along with high resolution digital files. I understand the limited print release does not allow publication from chain labs (Shutterfly, Walgreens, Walmart, Target, Snapfish, etc.), selling, screenshots or altering images in any manner. Reproduction does include, downloading, saving to hard-drive, posting on personal websites/blogs/social media only with VIDEOGRAPHER acknowledgment and printing from said printers. By choosing "I Agree" I will honor the above statement.

VIDEOSHOOT RETAINER & SESSION PAYMENT AGREEMENT & POLICIES: I have read and agree to the following statement: I understand that my session is not confirmed until a non-refundable retainer of $150 is paid to Benji Visuals or Reel Filmiliar LLC. Retainer is paid ONLY via Cash, Cashapp or Paypal. When I "submit" this form I will be redirected to Paypal or Cashapp to complete my retainer payment. I understand that my remaining session balance is due at the time of my session. Should the remaining/final balance not be paid my images will not be released. By choosing "I Agree" I understand and agree to the terms and conditions set forth by REEL FILMILIAR LLC as stated.

NON-Refundable Session RETAINER $150.00

Gift CertificateFree

Cashapp *Non-Refundable$150.00

$Reelfilmiliar

By signing (draw your signature) below I certify that I am at least 18 years of age. I have read this Visual agreement/waiver/contract and fully understand the contents thereof. I agree that I have the legal authority to grant these permissions and accept all responsibility for such.

Deposit is due upon submission of Booking, Session Will Not Be Booked Without Deposit!!

$Benjivisuals

$Reelfilmiliar

BOOK YOUR SESSION

Client Visual Agreement/Contract/Waiver/Copyright Acknowledgment & Policies