Saturday, 24 April 2010

Permissions Of Access

With reference to the following production: Performance

Produced by: Amina Diwa Saadat

In consideration of the request for audio / video recording as follows:

Location: Drimsdyke Hotel

Date: 16/12/09

Time: 8:00 PM

Please select as applicable:

Permission is given - Yes

Permission cannot be given

Permission is given subject to the following conditions:

Name (Please print): Robert Cannon

Date: 12/12/09

Position: Manager

Address:

113 Goldstone Way,
Berryfield ,
US3 7HA

Contact telephone number: 07784523456

Signature:

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