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 PLAY INFORMATION
Title:
Author:
Publisher (if known):
 SCHOOL / ORGANISATION
Name:
Contact:
Phone Number:    Fax Number:
Email:
Postal Address:
Suburb:   Postcode:   State:
Delivery Address (NOT PO Box):
Suburb:   Postcode:   State:
 PRODUCTION INFORMATION
Venue Name(s):
Location of Venue(s):
Nearest Capital City to Venue:   Distance to city (in kms):
Maximum Seating Capacity:
Performance Dates:
e.g. 01/05/07
From:    To:
Total No. of Performances:
Please state whether your organisation is Amateur or Professional:
Additional Information:
NB: All sections must be completed to ensure there are no delays in processing your request. To Be Advised (TBA) is not sufficient information.

 The information on this application form may be the basis for a legal contract. I hereby confirm that all details on this form are correct.




8 Cross St Brookvale NSW 2100   Ph: (02) 9938 8600   Fax: (02) 9938 8695
drama@dominie.com.au

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