Food & Beverage TV Ad Storyboard Consent Form

Project Information

Production/Project Title Brand/Product Agency/Production Company Contact Person

Phone

Storyboard Details

Description of TV Ad/Storyboard Depicted Food & Beverage Items

Purpose of Use

Purpose/Intended Use

Consent Agreement

I hereby grant permission for the storyboard, including representation of food and beverage items as described, to be used for development, approval, and production of the TV commercial for the above-stated project.

Consenting Party Name

Title/Position

Date

Signature