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Get Form To Fill When Applying To Be Part Of The Film Industry

Y 2Z6 e-mail akennet langara.bc.ca Fax (604) 323-5899 Tel: (604) 323-5561 Please fill in the following. Please Print or type your answers. Please check which intake you are interested in registering for: September through December May through August PERSONAL DATA Ms. Mr. Mrs. Name (Last, First): Address: City : SIN: Postal Code: Home Tel. Work Tel. Fax No. DOB: E- mail Payment Information Non-Refundable Application Fee ($100) Cheque/Money Order Credit Card holder s Name:.

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