General Information:

Date: 

Caller #:         Production:

Name:        Signatory:

Telephone:        Episode #:

Address:

                        *Prod. Co. Name:

Location:   U.S.A.:   Foreign:                                       *Prod. Co. Phone:

City, State/Province:

                                                                                                   Production Type:

 Social Security #                              Name                                             Start Date                        Category Code

                                        Explanation of Performer Category Codes

                                                  D - Dubbing                P- Principal

                                                  E - Extra                      R - Series Regular

                                                  G - Guest Star            S - Singer

                                                  L - Looping                 V - Voice-Over

 

*For commercials only please provide production company name and telephone number

Notes: