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Staged Works (Grand Rights)

License Application

CUSTOMER INFORMATION

Name of Organization:

Contact Person:

Billing Address:

Shipping Address:

Telephone Number:

Fax Number:

e-mail address:

Account Number (if known):

Purchase Order Number:

PERFORMANCE INFORMATION

Composer:

Title: (browse the catalog)

Performance Date(s):

Venue/City:

Seating capacity of the theater:

Ticket prices:

Accompaniment:
Live with complete instrumental ensemble
Piano only
Pre-recorded

Name of any other performing ensemble(s) involved with this production (ballet, opera, instrumental):


Please provide details of plans for audio or video recording, broadcast, telecast, or any other use in addition to in-theater performance:

ORDER FOR MATERIALS

Ship Via:

INSTRUMENTAL MATERIAL

String requirements:

Quantity of scores:

Other requirements:

Required date:

VOCAL SCORE

Quantity:

Required date:

CHORUS PARTS

Quantity:

Required date:

LIBRETTO

Quantity:

Required date:

Additional comments: