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REUTERS AMERICA INC.
FREELANCE PHOTOGRAPHER AGREEMENT
DETAILS FORM
PART A
Name:

PHOTOGRAPHER DETAILS

Address :
City:
Postcode:

Country:

Phone No:

Fax No:

Soc. Security No.:
E-mail:
IM name
Reuters Source No

PART B
Payee Name:

(to be inserted after form processed)

PAYMENT DETAILS (Mandatory for resale payments)

Bank Name:
Bank Address:
City:
Postcode:

Country:

Sort Code:

Account No:

Swift Code

Note: to ensure confirmed payment you must advise us immediately of any change to
the above contact or payment details.

Once you are satisfied that the information in this form is correct and that you have
read and understood the contractual terms which follow, please sign at the space
provided after the terms and conditions below to acknowledge your agreement.

AGREEMENT dated as of {DATE OF AGREEMENT} between REUTERS
AMERICA LLC., a Delaware corporation with its principal offices at 3 Times Square,
New York, New York 10036 (“Reuters”), and {NAME OF CONTRACTOR}, who
resides at {A