ROYALTY APPLICATION / ORDER FORM:

Burkhart Enterprises is happy to serve you. As you know, the plays offered for sale are protected by copyright laws and are subject to royalty for reading before an audience or production. We assume you intend production. In that case the royalty amount is Thirty Five Dollars ($35.00) and is payable with application. Royalty is for a period of one hundred twenty (120) days from the date of application and is for unlimited performances during that period. Royalty fee also includes one reproducible script copy and permission is hereby granted for a maximum of twelve (12) copies. THIS APPLICATION IS FOR LIVE STAGED PRODUCTIONS ONLY. NO OTHER RIGHTS ARE HEREIN GRANTED. NO TELEVISION, FILM, VIDEO OR AUDIO RECORDING MAY BE MADE OF YOUR PRODUCTION AT ANY TIME . Minor changes to the script are allowable. We thank you.

We agree to the above terms and conditions:

Signed:_____________________________Title________________________

Effective Date:________________

Please copy this form. Make check or money order payable to Burkhart Enterprises. Send completed form with payment to address below:

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