Royalty Application for Dramatic Publishing Plays

* Title of the Play/Musical

Change Play Information (This action will reset the form.)

Snow White and the Seven Dwarfs (Kase) (Piano/Vocal Score) [QV9]

* Theatre Status (please select one)

  Student Production
  Amateur Non-Student Production
  Non-Equity With Paid Actors
  Equity

* Billing Address

School/Org
Attn:
Address
Add'l Address
City
State
Zip/Postal Code
Country

* Shipping Address

(Same as Billing

YES NO)

School/Org
Attn:
Address
Add'l Address
City
State
Zip/Postal Code
Country

* Correspondence Address

(Same as Billing

YES NO)

School/Org
Address
Add'l Address
City
State
Zip/Postal Code
Country

* Contact Info:

Name
Official Position
Phone
Fax
e-mail

*Box Office/Ticket Information

Would you like us to make the box office information available through our website?
	YES NO
(If yes, please provide available information below.)
Box Office Telephone

Website

*Production Information

# Performances Planned
Playbooks for this play:
were acquired from
will be acquired from
purchase date	(mm/dd/yyyy)
Dramatic Publishing Invoice# (if available)
First Performance Date	(mm/dd/yyyy)
Last Performance Date	(mm/dd/yyyy)
Seating Capacity
Expected Attendance PER Show
Admission Prices
Adults	YES NO
Adults Price	$
Seniors	YES NO
Seniors Price	$
Students	YES NO
Students Price	$
Children	YES NO
Children Price	$
Ticket Price Currency
Other:Subscription, Group Rates, Advance vs. Door Tickets, etc...

* Venue: Location of Performances
     (if not touring)

Same as Billing Address?   YES  NO

Same as Shipping Address?   YES  NO

Same as correspondence Address?   YES  NO

If no to the above, please supply the following information:

Theatre/Building

Street

City

State

Zip/Postal Code

Additional Comments:

Please enter the words you see in the box, in order and separated by a space. Doing so helps prevent automated programs from abusing this service.
If you are not sure what the words are, either enter your best guess or click the reload button next to the distorted words.
Visually impaired users can click the audio button to hear a set of words that can be entered instead of the visual challenge

Please complete any of the following sections that apply to your production
If none of the criteria apply to your production, click here to submit your application.

If any of the following criteria apply to your proposed production, please click on the link and complete that portion of the application:

Professional/Equity productions
Touring productions
Cutting the play/musical for competition?
Musicals and rental materials

* = Must complete to receive quote.

Touring Information

Will you tour this production?
	YES NO
Minimum number of performances

Maximum number of performances

Tour rate PER show

Geographic location of your tour

Are the tour dates finalized?
	YES NO

Competition/Cutting

For Competition?

  YES  NO

If yes, which competition

Do you need permission to cut this show?

  YES  NO

If yes, what is your time limit?

I accept the cutting guidelines

  YES  NO

customer's cannot agree to guidelines - they need to submit a special request

Cutting/Competition Comments

Cutting Guidelines

Musicals

Please indicate which rental package you will be using.

Equity/Professional Production

A.E.A. Contract

Minimum Number of Performances

Maximum Number of Performances

Titles of last two plays


Gross receipts for all performances last play

Average ticket price for last play
	$
Number of performances for last play

Royalty paid for last play
	$