Broadcast Media Request Form

Pursuant to your request to film or record (whether video, audio or both) on Chicago Mercantile Exchange Inc. (“CME”) or its affiliates’ property, CME seeks to obtain certain information concerning such recording.  The company or individual (“Company”) identified below acknowledges that, if the media request herein is granted (at CME’s sole discretion), the photographs, movies, and sound recordings (“Materials”), taken on CME or its affiliates premises or of, its staff that are the subject of this Media Request Form, will be used solely for the purpose(s) described below. Any other use of the Materials without the express written consent of CME Group is strictly prohibited. If this media request is granted, Company acknowledges and agrees that CME will require the execution of a separate location release agreement (including insurance requirements). Please type entire form.