Licensing Application Form

Name of the Applicant *

First

Last

Telephone Number of the Applicant *

Email Address of the Applicant *

Name of the Show *

Type of License *

Other License Type

If you choose others, please specify here.

Name of the Applying Organization / Institution *

Address of the Applying Organization / Institution *

Organization / Institution Type *

Other Types

If you choose others, please specify here.

Opening Date *

Closing Date *

Number of Performances *

Name of the Venue *

Seating Capacity *

Expected Attendance Per Performance *

Performance Language

Highest Ticket Price (In USD) *

Lowest Ticket Price (In USD) *

Streaming Online *

Name of the Streaming Platform

If choose streaming online, then give the name of the streaming platform.

Estimated Number of Audience Watching Online

If choose streaming online, then give the name of the streaming platform.

Online Ticket Price (In USD)

If choose streaming online, then give the name of the streaming platform.

Streaming Live or Pre-Recorded

If choose streaming online, then give the name of the streaming platform.

Do you want to Record For Archive Purposes *

Are Performers Paid? *

How much do you pay the performers per performance? (In USD)

Notes