1226 S 1480 W. Orem, Utah 84058 / 801.222.0900 (office) 801.802.0483 (fax) contact@disc-usa.com


UNDERTAKING TO INDEMNIFY
Please fill out form, print, sign and date all appropriate fields and mail or fax to DISC.

Section 1: This information is required.

Selection:
Title / Artist(s):
 
Broker or Customer Name:
Employer or Principal of Broker:
Address:
Telephone:

Section 2: Audio Section

Track Number
Artist
Track
Song Title
Track Time
Copyright Owner
1.
2.
3.
4.
5.
UNDERTAKING TO INDEMNIFY

The undersigned represents and warrants to Digital Impressions and Stamper Company (DISC)
that in regards to all optical discs and related materials provided to DISC for reproduction, the
undersigned has the full and unregulated right to reproduce all of the contents contained therein
and DISC is hereby authorized to reproduce for and on behalf of the undersigned all of the
contents of said optical discs and related materials.

The undersigned shall assure and hold DISC harmless in the event of any violation or evasion
by it or any of its representatives and warranties herein set fourth as well as from any suits,
disputes, actions, or other legal proceeding initiated by any third parties in connection with
the reproduction of the contents of the optical discs and related materials and shall pay any
awards granted against DISC and compensate DISC for all legal fees and disbursements
incurred in connection therewith.

Agreed to this day in ,


Name of Indemnifying Party (DISC Client)

________________________________________________________
Company Officer's Authorizing Signature