RGM Artist Group - Licence Orders

Licence Application Form

Please provide us with the following information and click the "Submit Application" button, so we can process your application. If you make a mistake, just click the "Clear Form" button and re-enter your information.

If you have any questions or concerns about the application form, please email us.

Name:

Title:

Organisation:

Street Address:

City:

State / Province:

Post / Zip Code:

Country:

Daytime Telephone Number:

Email Address:

Web Site Address:

Is your theatre company:

Please provide some information about the plays you would like to licence. We will need the title of the play, the number of performances for the play, the name and address of the venue at which the play will be performed and the intended dates of the performance.

The date must be entered as singular performances.

Title of Play	Venue (name and address)	Number of Performances	Date of Performance

Once your email is submitted, please allow 2 - 3 days for a reply. Thank you for your application.