Note: Please print and sign this form and return a scanned PDF or image.

GTIN Exemption Support Letter for Media Products

Hereby I confirm that products released by publisher, label or studio identified as below do not
have any type of GTIN (UPC, EAN, JAN or ISBN). The Seller identified as below is authorized to
sell these products on Amazon.

SELLER NAME: [Name of Seller]

SELLER EMAIL: [Email of Seller]
SELLER PHONE NUMBER: [Phone number of Seller]
SELLER ADDRESS: [Physical address of Seller]

PUBLISHER NAME(S): [Name of publisher/label/studio releases the products]

PUBLISHER CONTACT:
[Name of contact person]
[Title of contact person]
[Email of contact person]
[Phone number of contact person]

PUBLISHER SIGNATURE: ___________________________

DATE: ______________________