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.

License Information:

License number: 
Title of play(s): 
Author(s): 
Opening date: 
Closing date: 
Reason for cancellation: 
  

Contact Information:

DPS account number (Optional): 
Your name: 
Company/Organization (Optional): 
Address: 
 
City: 
State/Province: 
Zip/Postal code: 
Country: 
Email address: 
Daytime telephone: 
Fax (Optional): 
Website (Optional): 

I agree to the Terms and Conditions for Cancellations.