PERMIT WORKER APPLICATION FORM

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I hereby apply for permit work in Local 461 of The International Alliance of Theatrical Stage Employees, Moving Picture Technicians, Artists and Allied Crafts of the United States And Canada.
Date (dd/mm/yyyy) : 

Salutation:  First Name : Last Name : 

Address:

City: 

Postal Code: 

Phone Number :

E-mail address: 

Union affiliations:

Education:

Experience:


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