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GSA Region 4 Film Outlease Request Form
Please allow
8 weeks lead time
from date of submission for GSA internal processing.
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* Indicates required question
Email
*
Your email
Full Name and Title:
*
Your answer
Email:
*
Your answer
Contact Number:
*
Your answer
Producing for: (Company Name/Address/Office Phone)
*
Your answer
Tax Identification Number (_ _ _ _ _ _ _ _)
*
Your answer
Name of Film:
*
Your answer
Description of Proposed Activity:
*
Your answer
Federal Building
*
Sam Nunn Atlanta Federal Center - 61 Forsyth St SW, Atlanta, GA
Martin Luther King Jr., Federal Building - 77 Forsyth St SW, Atlanta, GA
Peachtree Summit Federal Building - 401 W Peachtree Street NW, Atlanta, GA
Other:
Proposed location within the building
*
Main Entrance
Back Entance / Other Entrance
Main Lobby
Court Room
Specific Area / Room - Provide details below.
Other:
Proposed Start Date:
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Proposed End Date:
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Approximate number of people expected to be involved (
cast/crew/extras)
:
*
Your answer
I acknowledge that I am giving at least a 8 week lead time for processing.
*
Yes
Other:
Required
Additional information you would like to provide:
Your answer
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