ࡱ> JLI7 7bjbjUU F47|7|4 l    h h h $ L &|,,,,   %%%%%%%$' )f%h    %%  ,,%%%%  8,h ,%% %%%rS#TP h S$ ,  9eu '#_$<%0&#*C*_$%     ARTISTS LEGAL OUTREACH INTAKE FORMPhone: (604) 681-3535 Fax: (604) 681-7848 Email: legal@allianceforarts.com Alliance for Arts and Culture Suite 100 - 938 Howe Street Vancouver, B.C. V6Z 1N9  INCLUDEPICTURE "http://www.allianceforarts.com/images-home/logo.gif" \* MERGEFORMATINET  CONTACT INFORMATION PLEASE TYPE OR PRINT Name:Street Address:City/Town:Province:Postal Code:Phone (day):Phone (evening):Email:Website: LEGAL ISSUE PLEASE TYPE OR PRINT Describe your legal issue using as much detail as possible. Include names, dates, description of written and verbal agreements, etc. Please consider the following: Is this an employment issue? If yes, describe your relationship with your employer/employee. Is this a contract issue? If yes, describe your relationship with your contractor/contractee, and have available a copy of the contract for us to review. Have you obtained legal advice from another lawyer? If yes, describe the advice given. IF YOU ARE IN FILM, please download and complete the additional Film Questionnaire.NOTE This request is for summary legal advice only. Applicants in need of legal representation or assistance beyond summary advice will be provided with a list of BC entertainment lawyers. The ALO is run by volunteer lawyers and law students. It may take over a week to respond to your inquiry. CONFLICT OF INTERESTA lawyer may be unable to provide legal advice to you if he / she has a personal or professional conflict with your case. These situations arise if the lawyer (and/or his/her firm) represents the other party involved in your case, or if the lawyer has personal information about you or the other party. Please provide the names of other parties involved in your legal issue:  RELEASE MUST BE DATED AND SIGNED IN PERSON AT YOUR APPOINTMENT, NOT TYPED OR FAXED IN I (the above-named Applicant) do hereby remise, release and forever discharge the Alliance for Arts and Culture (the AAC) and its officers, directors, employees, contractors and volunteers from all actions, causes of action, suits, debts, dues, sums of money, claims and demands whatsoever at law or in equity which I may ever have against the AAC or its officers, directors, employees, contractors or volunteers by reason of any matter, cause or thing whatsoever arising from and out of my attending an Artists Legal Outreach (ALO) meeting at the offices of the AAC or my obtaining advice, information or materials during or in connection with an ALO meeting. _____________________________________________________________________________SignatureDate Signed PRIVACY We respect your rights to privacy and confidentiality. 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