ACTR A

Production Company: With Offices at: Represented by (name)

PERFORMER CONTRACT FOR INDEPENDENT PRODUCTIONDOCUMENTARY, INDUSTRIAL, NON-DOCUMENTARY PRODUCTIONS

Phone #: Title: to provide the services of: Phone #: H.S.T.: DOB: ACTRA/Work Permit #: Legal Guardian: Phone #:

Contracts with (performing co, if applicable): NAME: ADDRESS: SIN: AGE (if under 18): AGENT (name, address): ADDRESS: IN THE PRODUCTION ENTITLED: PAYMENT MADE TO:

NATURE OF PRODUCTION
(Indicate Declared Use - check one only. See Clause B301) Theatrical CIPIP Free Television Pay Television Cable TV Compact Devices Length of Production: min. If series, total No of episodes: Episode Titles and/or numbers: Educational Television Non-Theatrical Other

No. of episodes guaranteed to performer:

NATURE OF ENGAGEMENT
Role: Rehearsal Date(s): Date(s) of Engagement (specify day, month, year): Guaranteed # Days: Fees: Daily: Hourly Rate: Wardrobe: Series Adjustment: Weekly: Overtime Rate: Rehearsal: % based on: Role No: Performance Category: No. of Doubles:

ADR/Off Camera Session: Living Expenses: per diem:

Locations: Transportation: Travel time $ per hour Other Transportation Expenses: Credit/Billing: Other Contractual Obligations: There is is not

Mileage Allowance:

per Km

a rider attached. Please note such riders form part of this contract.

ADDITIONAL RELEASE RIGHTS

In addition to the rights included under Declared Use (per Clause B301 indicated above), the Producer hereby purchases by a further pre-payment of the Performers total net fees, the following additional release rights:
PRE-PAYMENT

130% of Theatrical films, all uses for four (4) consecutive years. 105% of TV films, all uses except theatrical for four (4) consecutive years.
OR ADVANCE

100% 75% 50% 25%

CIPIP ADVANCE

Non-Refundable Advance of Non-Refundable Advance of Non-Refundable Advance of Non-Refundable Advance of

net fees against net fees against net fees against net fees against

3.6% 4.6% 5.6% 6.6%

of of of of

Distributors Distributors Distributors Distributors

Gross Gross Gross Gross

revenue revenue revenue revenue

% Non-Refundable Advance of net fees against

% of Distributors Gross revenue

The parties to this contract warrant that they have familiarized themselves with the provisions of Independent Production Agreement and are bound by its terms.
Signature of Performer Please print name Date Signature of Producer Please print name Date