Licensing Application Form

Name *

First

Last

Telephone Number *

Email *

Show Name *

License Type *

Other License Type

If you selected "other" in the previous question, please specify here.

Organization / Institution Name *

Organization / Institution Address *

Organization / Institution Type *

Other Organization / Institution Type

If you selected "other" in the previous question, please specify here.

Opening Date *

Closing Date *

Number of Performances *

Venue Name

If the venue name differs from the organization / institution name, please specify here.

Seating Capacity *

Expected Attendance Per Performance *

Performance Language

Highest Ticket Price (In USD) *

Lowest Ticket Price (In USD) *

Will Performers Be Paid? *

How much will you plan to pay the performers per performance? (In USD)

Notes