Shear Madness Licensing Form
Name
First Name
Last Name
Title
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Fax Number
-
Area Code
Phone Number
Name of Theater
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Theater Website
Number of Seats
Professional Company?
Yes
No
Actor's Equity Company?
Yes
No
Non-Equity Company?
Yes
No
Production Start Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Production End Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Performances Per Week (Sun-Sat)
Ticket Price
Does the Theater Offer a Subscription?
Yes
No
Current Number of Subscribers
Do you plan on including Shear Madness to your Subscription?
Yes
No
Additional Information
Enter the message as it's shown
*
Submit Form
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