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1. CREW INFORMATION SHEET
Please fill in the following information completely and return this form to the Production Office. Thank You.
SHOW Changemaker Promotional Video
NAME Rosie Allen
POSITION Director and Assistant Producer DEPARTMENT
HOME ADDRESS 27 Agnes Road, Northampton, NN2 6EU
MAILING ADDRESS (if different) rosieallen2006@hotmail.com
HOME PHONE # PAGER #
HOME FAX # MOBILE PHONE # 07850895700
E-MAIL ADDRESS
Check here if you DO NOT want any of the above information on the Crew List
Check here if you just want your pager and mobile numbers on the Crew List
SOCIAL SEC # BIRTHDAY (month/day) 16/07/1997
LOAN-OUT Co. FED. ID #
START DATE UNION
EMERGENCY CONTACT Rosie Allen
RELATIONSHIP Mother HOME PHONE # 07851094230
MOBILE PHONE # WORK PHONE #
TRAVELING PREFERENCES (We will try to accommodate your preferences to be best of our ability.)
AIRLINE SEAT (check one) Window Middle Aisle Bulkhead No Preference
AIRLINE MEAL (check one) Vegetarian Non-Dairy Kosher No Preference
AIRLINE ACCOUNT # (Please list your frequent flyer account numbers.)
ACCOMMODATION PREFERENCES
HOTEL ROOM LOCATION: Ground Level In the Back Near the Front No Preference
BED SIZE: King Queen Two Beds
ROOMS: Smoking Non-Smoking
IF AVAILABLE, I WOULD LIKE THE FOLLOWING IN MY ROOM:
Refrigerator Microwave Extra Rollaway Desk Modem Line
The above information is solely for Production Office records and will be kept strictly confidential.
© A Stephen A. Marinaccio II form