LICENCE TO PERFORM APPLICATION & AGREEMENT
RETURN TO - SMITH SCRIPTS, P.O.BOX 121, WELLINGTON, SOMERSET UK TA21 1BW OR SCAN AND EMAIL INFO@SMITHSCRIPTS.CO.UK
NAME OF SCRIPT
AUTHOR/S
NAME OF APPLICATION COMPANY
CONTACT DETAILS FOR COMPANY - NAME/PHONE/EMAIL
NUMBER OF PERFORMANCES PLANNED
PERFORMANCE DATES & TIMES
AUDITORIUM CAPACITY
VENUE NAME & ADDRESS
TYPE OF PERFORMANCE - TICK AS APPLICABLE - online recording/posting includes any production which remains online for any length of time after performance eg Podcasts/Youtube
*
PLEASE GIVE ANY FURTHER INFORMATION ABOUT YOUR LIVE STREAMING/ONLINE POSTING IF KNOWN
IF YOU WISH TO VIDEO A STAGE PERFORMANCE - TYPE 'YES' IN THIS BOX SO A LICENCE CAN BE ISSUED.
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