Fillable STATION 12 INFORMATION FORM

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STATION 12 INFORMATION FORM

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Country of origin: OTHERS
File type: PDF

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1900 Broadway,5
th
Floor, New York, NY 10023 Fax: (212)768-9154
Phone: (212)827-1418, 1419
5757 Wilshire Blvd. Los Angeles, CA 90036 Fax (323)549-6792,6793
Toll-free Fax (800)836-1768 Phone (323)549-6794
STATION 12 INFORMATION FORM
Date
Caller Id
Contact Name
Product / Production
Co. Name
Ad Agency (City) / Signatory
Phone #
Fax #
Address
Production Co. Name
Production Co. Phone
Location
(City/State)
Production Type
SSN or SAG-AFTRA Idn Name Start Date
Category
Codes
SAG-AFTRA
Use
Explanation of Performer Category Codes
B Background DA Dancer D Dubbing G Guest Star L Looping
P Principal PT Puppeteer SR Series Regular S Singer ST Stunt
V Voiceover
Station 12 Information Form 5.6
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STATION 12 INFORMATION FORM

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Completed 5 February 2021

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