Samuel French, Inc. The House of Plays & Musical Plays for Over 175 Years

Application for Performance Rights A NOTE ON RESTRICTIONS AND CLEARANCES: Please be advised that special clearance must be obtained for all productions in New York City, Los Angeles and several other areas surrounding major cities in the U.S. All applications will be processed swiftly, however, if your application is for a production in a restricted area that requires us to obtain special clearance or further review, the processing time could take up to four weeks. We recommend that you do not hold auditions, start the rehearsal process or begin significant production work before you obtain a Licensing fee (royalty) bill from us signifying that you are approved for your performances. • indicates a required field
What show do you want to perform?
• Title of Play:
• Author(s), Translator(s), Adaptor(s):
• First Performance Date:
• Last Performance Date:
• Number of Performances:
• Number of Seats of Theatre/Auditorium:
• Ticket Price Range:
Do you pay Actors?	Yes No
If Yes, Weekly Actors' Salary:
Comments:

Is this production in English? If no, please answer the below:	Yes No
In what language will the production be performed?

Is this a musical? If yes, please answer the below:	Yes No
Will You Use:	Orchestrations Piano Only
Rental Periods: (prior to opening date)	8 Weeks 12 Weeks 16 Weeks

Who Is Producing The Show?
Samuel French Account Number (if available):
• Contact Name:
• Full Organization/Theatre Company/School Name (no initials):
• Billing Address:

• City:
• State/Province:
• Zip/Postal Code:
• Country:
• E-Mail Address:
• Daytime Telephone Number:
• Fax Number:
Web Site:
School/Organization Purchase Order Number (if needed):

Where Is Your Production Being Presented? Check Here If Same As Billing Information
• Theatre Name:
• Theatre Address:

• City:
• State/Province:
• Zip/Postal Code:
• Country:

Is this for a Contest, Festival or Conference performance (i.e. Texas UIL, State Thespian Conference, ACTF, etc.)?	Yes No
If yes, you must complete the below :
What is the name/sponsoring organization of the Contest or Festival?
Please briefly describe the length and requirements of the cutting requested (if you will be performing the entire show, please state 'entire show')?

Our mailing address is: 45 West 25th Street New York, NY 10010-2751 Phone (212) 206-8990 Fax (212) 206-1429 Western States: Customers located in the following states please be advised your order will be forwarded to our West Coast Office: Alaska, (AK), Arizona (AZ), California (CA), Guam (GU), Hawaii (HI), Nevada (NV), Oregon (OR), Washington (WA). If you have any questions or concern about the order you have placed please contact them at the following: Samuel French, Inc. 7623 Sunset Blvd. Hollywood, CA 90046-2795 Phone: (323) 876-0570 Fax: (323) 876-6822 Office hours are Monday-Friday, 10:00 a.m. - 6:00 p.m., Pacific Time. Customers located in Canada, please contact: Samuel French (Canada) Ltd 100 Lombard Street, Lower Level Toronto, Ontario M5C 1M3 Phone: (416) 363-3536 Fax: (416) 363-1108 E-mail: toronto@samuelfrench.com

Application for Performance Rights

Western States:

Customers located in Canada, please contact: