* indicates required field

Producer Information

Contact Name*

Your Title*

Your Email*

Producing Organization*

Contact Address
Address 1*

Address 2

City*, State* Zip*
,

Telephone*

Website

Name, Title, and Email of party signing the contract

Name*

Title*

Email*

Rights Request

Do you pay your actors?*

If yes, what is their weekly salary?
$

Type of Inquiry*

If Professional, specify your Equity contract:

Is this for a Contest, Festival or Conference performance?
YesNo

If Yes, please complete these fields:
Sponsoring Organization

Briefly describe the length and requirements of the cutting requested
(if you will be performing the entire show, please state 'entire show'):

Show Requested*

Author(s)*

Production Information

Number of Performances*

Dates (MM/DD/YY) - (MM/DD/YY)*
-

Performance Venue*

Venue Address
Address 1*

Address 2

City*, State* Zip*
,
Telephone*

Number of Seats

What is the average expected percentage (%) of seats to be sold at each performance (estimate, of course): %

Average Ticket Price (USD$)
$.00

Is this production in English?
YesNo

If No, then what language will you perform in?

Is this a musical?
YesNo

If Yes, will you use...
PianoOrchestrationsOrchestral CD

Rental period (prior to the opening date)

Please list the last 3 shows performed and royalty paid
(per performance or % of gross):
(e.g. AS YOU LIKE IT, $100/performance)

Show: / Gross: $.00

Show: / Gross: $.00

Show: / Gross: $.00

Additional Comments:

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