December 22, 2009

THE BASEMENT SPACE
2010 SEASON SUBMISSION FORM

 

COMPANY:

 

PRIMARY CONTACT:

 

POSTAL ADDRESS:

 

PHONE:                                                               Home                                                          Mobile

 

EMAIL:

 

PROJECT NAME:

 

KEY PEOPLE INVOLVED:

Director:

Producer:

Production Designer:

Actors:

 

 

PREFERRED DATES:

First choice:

Second choice:

Third choice:

 

IMPOSSIBLE DATES:

 

CONSIDER DOUBLE BILLING IF SHORT WORK:             YES                    NO             (circle one)

 

I certify that all information in this submission is correct at the time of writing.

 

Signed:

 

Date:

 

SUBMISSIONS MUST BE RECEIVED BY FRIDAY 29TH JANUARY 2010.

 

Post to:

Michelle Blundell – The Basement.

2/719 Great North Road, Grey Lynn, Auckland 1021.