L&M MODELING & TALENT AGENCY

VOUCHER YOU must fill out completely and have client sign & date.

- Please circle -

Job Type: Commercial | Film | PSA | Print | Promo | Runway | Other

Job Name:__________________________________________________

Client: ____________________________________________________

This is whom you worked for

Event Location: ____________________________________________

City: ________________________ State: _____ Zip: _________

Contact Person: ____________________________________________

Comments: __________________________________________________

TALENT NAME: ______________________________

JOB DATE: _____________ TIME IN: _______ TIME OUT: _______

Client Signature: _________________________ Date: _________

Terms: 30-90 days

MUST FAX WITHIN 24 HOURS TO 410-602-2415

(You do not need a cover letter)

Without this voucher you will not be paid!

L&M Modeling & Talent Agency 410-602-3360 L&M New York 212-502-6634