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Submitted by Anonymous (not verified) on
All
On
Address
lafontan@doumafis.com
Email
dumas.lafontant@alumni.usc.edu
Email
dumas.lafontant@alumni.usc.edu
First name
Doumafis
First name
Doumafis
I Agree
On
Last name
Lafontant
Last name
Lafontant
Phone
6177356509
Phone
6177356509
Phone
6177356509
Region
Same as authorized person
On
Same as company address
Off
Same as company address
Off
Title
Playwright
Title
Playwright
Type
AZ Bottom

AZ Heading

Authorized Person

Please provide your name and contact details.

By providing your name and contact details, you are confirming that you are authorized to submit this Signatory Application, if applying on behalf of the company or organization listed above, and that you are authorized to execute any and all writings and agreements and to take any other action on behalf of the company or organization listed above, in accordance with the Signatory Letter below.

 

Company Heading

 


Company, Organization or Individual

contact head text

CONTACT PERSON

CP Heading

If the contact person is different than the authorized person, please provide details below.

Final Review

Final Review and Submission

To finalize your application, please carefully review the GLC General Terms and Signatory Letter. The Authorized Person should sign the Signatory Letter and email it, duly executed, at glc_admin@ifc.org.