Name of Production:
Venue Name:
City: / Seating Capacity:
Total Program Running Time
(excluding intervals): / Dates of Performances (From – To):
Total Music Duration
(all music, including non-copyright music & in-house compositions/score): / Anticipated No. of Performances:
Ticket Price/s:
$ / Total Expenditure on Performers (if free event):
$ / Gross Box Office Estimate:
$
If unsure, we suggest 60% capacity at average ticket price
Does the production have: / Yes/No
A. (i) / Acting:
When performers assume a role or adopt a character other than themselves.
(ii) / Costumes:
Clothing or accessories worn to assist a performer assume a role other than themselves
(iii) / Scenic Accessories:
Things that belong on a stage, which set a scene. eg. props, painted backdrops, individual items of scenery, projection of images
B. (iv) / Scripted Dialogue:
A scripted exchange between at least two people
(iv) / Other Dramatic Effects:
Any devices that assist in relaying the story that is being told, or that add to the drama in some way. Eg.narrator, monologue, sound effects, smoke
C. / Dance Sequence or Ballet:
A choreographic work having a story, plot or abstract idea devised or used for the purpose of interpretation by dancing and/or miming, but does not include country or folk dancing or precision dancing sequences
Are you performing 3 or more songs from one musical or ballet?
Are you advertising to the public by Press/Radio/TV?
Do you intend to parody or change lyrics in any way?
If so, please indicate which songs
Are you making print music arrangements of the works?
Are you VIDEO recording the event?
Are you making AUDIO recordings for use in the performance?
Promoter Name / Company/Production Website
Producer/Production Company
Contact Name / Business/Companies Number

Address

/ Email Address
Telephone No. (business) / (home) / Fax No.
Email / Invoice Name & Email (if different to Contact Name)
SYNOPSIS (COMPULSORY): Please describe the production eg. storyline, plot or abstract theme(s).
......

SONG LIST

Please attach a list of songs with composer details and song duration to this form. If you do not know the composer, please indicator the performer.

SONG
(Musical Work) / COMPOSER(s)
(Arranger – if applicable) / Duration (to be used) 00:00 / PUBLISHER (office use only) /

(Cut and paste extra lines into song list if required)

This application form will only constitute a Licence Agreement when the Applicant receives a signed agreement from APRA.

Application forms should be submitted to: Email: or Fax: (09) 623 2174