Play/Musical Rights Request Form

* 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)*

How many copies of the script would you like?*

Production Information

Number of Public Performances*

Number of School 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$)

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:

Additional Comments:

Please prove you are human by selecting the house.