Non-Binding License Request | gallissas theaterverlag und mediaagentur gmbh

With the following form you can inquire without obligations if licencing of the chosen piece is possible.

Please fill out the form completely if possible.

Show

Title of the show *

Composer

Language

Comments

Contact Information

Theater/Organisation

Legal representative who will sign the contract (Name and title) *

Contact person for the project (Name and title) *

Address *

ZIP-Code *

City *

Country *

VAT identification number, VAT-ID or. VAT-IN

We have no VAT identification number, VAT-ID or. VAT-IN

Phone *

Fax

E-Mail *

Performance Details

Name and adress of the venue *

Number of seats *

Number of planned performances *

Period of the planned performances *

Average admission fees *

Delivery date for the performance materials

Performance with live musicians or backing tracks

Delivery adress for performance materials (if different)

Last productions by the theatre *

Additional Information

Leave this field blank

Welche Zeichen sind in dem Bild oben zu sehen? *

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