GODSPELL THE MUSICAL

The form below is designed so that you may fill it out as you visit the site. When you click "Request Licensing Information", a printable confirmation page will be provided for your records or that you can fax to Theatre Maximus if you prefer.
A copy of the completed form will be sent to Theatre Maximus.

If you rather print a blank form and complete it by hand, Click Here for an HTML version (prints to one page) or Click Here for a .pdf version.

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Contact Information

Name (Individual/Company/Organization):

Contact Person (Company/Organization):

Title/Position (Company/Organization) (optional):

Address - Street:

Suite or Building Number (optional):

City:

State / Province:

Zip / Postal Code:

Country:

Telephone (Include Area Code & Extension):

Fax (optional):

Email:

Web Site URL (optional):

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Billing Information

Please complete the following if different than above.

Check box if Billing Information is same as Contact Information.

Billing Name:

Billing Address - Street:

Billing Suite or Building Number (optional):

Billing City:

Billing State / Province:

Billing Zip / Postal Code:

Billing Country:

Billing Phone Number:

Billing Fax (optional):

Billing Email:

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Please contact me regarding GODSPELL

Please have a representative:

Call Me Fax Information Mail Information Email Information

What is the best time of day to call you?
Between AM and (i.e. 8AM & 5PM, ET)

Has you group or organization performed Godspell before?

Yes No

If Yes, when?

What are your planned run dates for Godspell?

From mm/dd/yyyy: [Required] To mm/dd/yyyy: [Required]

How many seats does your performance space have? [Required]

What is/are the ticket price(s)? [Required] (Please separate by commas, e.g. $10.00, 8.50, 5.00)

May we add you to our mailing list?

Yes No

Additional Information, comments or questions:

Verification Code:

Enter the characters in red in this field. CASE SENSITIVE!

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