* 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?* —Please choose an option—YesNo If yes, what is their weekly salary? $ Type of Inquiry* AmateurProfessional 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: Show: / Gross: Show: / Gross: Additional Comments: Please prove you are human by selecting the Cup.