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Mercial PSA Industrial/Non-Broadcast PBS Other Movie: Experimental Limited Ex Modified L.B. Low Budget Theatrical Talent Can Not Be Cleared Without A Social Security Number! Please Specify (circle) under which union's jurisdiction production is to take place. AFTRA OR SAG (please circle) SOCIAL SECURITY Principal or Extra NAME OK: Performer is cleared to work MP: Performer must pay the union before shoot/recording CO: Performer mus.

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