Licence for music use in films Approval of edits & translations Permission for reprint Licence for scenic performances (incl. dance)

Licence for scenic performances (incl. dance)

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Details of the work

Factory *

Composer *

Version *

Language *

Data of licensee and contact person

Salutation *

Forename *

Surname *

Street and house number *

POSTCODE *

City *

Country *

E-mail *

Contact person *

Questionnaire on the performance(s)

Will the performance take place in staged or concert form? *

Is a musical or textual adaptation planned? *

In the case of editing, exact designation of the individual changes:

Orchester/Ensemble/Dirigent/Regisseur:

The following non-contractual works complement the programme:

Number of performances (public dress rehearsal = performance):

Premiere dates as well as other fixed repeat dates:

Performance venue(s):

Hall and capacity:

Admission fees/contribution to expenses:

Audio-visual recording planned? *

Audio recording and/or CD production planned? *

Electronic print (surtitling system): *

If yes, please indicate the language(s) and translator(s) (if applicable):

If dance performance: Which individual titles or excerpts of the above-mentioned work(s) make up the performance evening? Please indicate the duration of each performance:

Performance material - desired number of piano reductions *

Performance material - desired number of scores *

Performance material - desired number of choir parts

* this is a mandatory field