Producer Statement

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Email Address*

Project Name

Project Street Address*

Building Consent Number

Legal Description*

Postal Address for the Producer Statement to be sent to

Owners Name*

Owners Address (if different from the Project Street Address)

Owners Phone Number*

Owners Fax Number

Owners Email*

Contractors Main Contact Person

Contractors Business Phone Number

Contractors Business Fax Number

Contractors Email

Design Firms Main Contact Person

Design Firms Business Address

Design Firms Phone Number

Design Firms Fax Number

Design Firms Email

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