License Application Form
Warsaw, .................................
AGENCJA DRAMATU I TEATRU
02 -375 Warszawa
ul. Piotrkowska 5/8
.............................................
(Theatre/Firm)
APLICATION FOR AN AGREEMENT (staging/reading*)
1. |
A title of the play:
|
|
2. |
Title of the play in original language:
|
|
3. |
Author: |
|
4. |
Translator: |
|
5. |
Author of Adaptation: |
|
6. |
Artistic Director:
|
|
7. |
Date of the opening: |
|
8. |
Place of an Opening: |
|
9. |
Name of a stage: |
|
10. |
Number of seats: |
|
11. |
Tickets prize:
|
|
12. |
Period of an Agreement: |
|
13. |
Number of performances planed during a validity of an Agreement: |
|
14. |
A gross box office receipts calculated for one performance: |
|
15. |
Planed guest performances: |
Yes or No?
|
16. |
Production budget: |
--------------------------------------------
(signification of a theatre/firm)
-
Please send the completed application to the following address: agencja@adit.art.pl