Authorization form

Request for exploitation

Type of exploitation

Applicant

Submitter's email

Contact person name

Contact person's last name

Name of applicant

Address

Zip code

City

State

Phone

Website

Beneficiary of the rights

User email

Contact person name

Contact person's last name

User name

Address

Zip code

City

State

Phone

Website

User type

Professional – earns profit by using rights

Amateur – does not make a profit from using the rights

Information about the work

Title of the work

Author's name

Author's last name

The author's role

Language of the work

Is a translation of the work used?

Yes No

Translator's name

Translator's last name

Has this translation been published?

Yes No

Approval

Internal tag of your file

Approval period

Approval start date

Approval end date

Territory for which approval is requested

Country of approval

Do you want exclusive rights in this territory?

Yes No

Attachments to the file

You can attach: translation, director's CV, translator's CV, company description, letter of intent, other documents.

Performance information

Number of planned performances

Number of guaranteed performances

Performance address

Place of first performance

Date of first performance

Average ticket price

Ticket currency

Venue capacity

Average attendance

Proposed royalties (lump sum, advance, royalties)

Comments

Authorization form

Request for exploitation

Applicant

Beneficiary of the rights

Information about the work

Approval

Approval period

Territory for which approval is requested

Attachments to the file

Performance information

INFORMATION

Contact