Rights Application
Click for printer friendly version. You may print this form to make application for performance rights to The Play Group Theatre. Send the completed form to The Play Group Theatre, 25 Stratford Avenue, White Plains, NY 10605 or by fax to 914-946-1336.
Your completion and submission of this form does not create a licensing agreement nor authorize your use of the requested performance material. Upon receipt of this application, The Play Group Theatre will issue a contract containing the terms of the licensing agreement.
SCHOOL / ORGANIZATION NAME ______________________________________________________
SHIPPING ADDRESS ________________________________________________________________
CITY _____________________________________ STATE _______________ ZIP ____________
PHONE (________)__________________________ FAX (________)_________________________
YOUR NAME _______________________________________________________________________
EMAIL _____________________________________________________________________________
PLAY TITLE ________________________________________________________________________
PERFORMANCE LOCATION __________________________________________________________
PERFORMANCE DATES __________________________________ SEATING CAPACITY _______
TOTAL NUMBER OF PERFORMANCES ______
TICKET PRICE RANGE ___________________
ACTORS' PARTICIPATION FEE (if applicable) _______ ACTORS' SALARY (if applicable) _______
LAST TWO PLAYS PRODUCED:
______________________________________________ ROYALTIES PAID ______________
______________________________________________ ROYALTIES PAID _______________
Call 914-946-0649 for more information about use of this copyright material or e-mail the Publications Manager with any questions.