New Permit Request - IATSE Local 828

Contact Information

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Number where we can reach you *

May we text you at this number? *

Yes
No

Email address *

Email

Confirm Email

Self-Assessment

Have you submitted your Self-Assessment Form? *

Yes

Processing Fee

Have you submitted your $20 processing fee? *

Yes

Agreement

Checking the box below indicates that you have paid the fee and submitted the appropriate form. You understand that a false statement here may result in the permanent removal of your name from our list. *

I hereby affirm that I understand and agree with the above statement.