Celebrity Agency Transfer Form
Personal Information:
Full Legal Name of Celebrity:
First Name
Last Name
Date of Birth:
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Talent Agency Information:
Current Agency Name:
Agent/Representative Name:
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
New Talent Agency Information:
New Agency Name:
Agent/Representative Name:
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Effective Date of Transfer:
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Terms of Transfer:
Exclusive Representation:
Contract Duration:
Compensation Agreement:
Client Obligations:
Agreement and Acknowledgment:
*
I, the undersigned celebrity, hereby agree to transfer my representation to the new agency mentioned above, effective from the date specified.
I understand the terms and conditions of the transfer, including any changes in the representation contract and compensation structure.
I acknowledge that I am responsible for fulfilling any remaining obligations to the current agency according to the terms of the existing contract.
Signature of Celebrity:
Signature of Current Agent/Representative:
Signature of New Agent/Representative:
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: