Request Cancellation of Licensed Performances

This is an application to request cancellation of ALL licensed performance dates.

If you must cancel all licensed performances, complete the "Reason for cancellation" box below, stating the specific reason(s) for the cancellation. If there are any problems with your cancellation, we will contact you via email. Please allow one to two weeks for your request to be processed.

Production Information:

Right To Apply: Cell Phone:

License number:

License Type:

Title of play(s):

Author(s):

Opening date:

Closing date:

Reason for request:

Contact Information:

DPS account number (Optional):

Name:

Company/Organization (Optional):

Address 1:

Address 2 (Optional):

City:

State/Province:

Zip/Postal Code:

Country:

Email:

Phone:

Fax (Optional):

Website (Optional):

I agree to the Terms and Conditions for Cancellations.

Please type the numbers you see in the picuture.