Theatre Request Form — Curtis Brown

Please use this form if you wish to seek a license to perform a professional or amateur play by one of our clients

Please note all permissions take up to six (6) weeks to process.

Source work

Playwright

The author of the work you wish to reproduce

First Name

Last Name

Play

The name of the work you wish to reproduce

Your details

Name

First Name

Last Name

Company Name

Use this area if you are applying on behalf of a company

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Website

http://

Your performance

Venue

Enter the location the play will be performed

Capacity

Enter the maximum capacity of the venue you specified above

Number of performances

Ticket price

Season

The period between the first performance and the last