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 three hundred sixty five (365) 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 twenty (20) copies. . Minor changes to the script are allowable. A reproduceable script copy will be mailed to you within 24 hours after receipt of order.

Name: __________________________________Date:_________________

Theater Name: (If applicable) ______________________________________

Address:______________________________________________________

City: ________________________STATE:__________ZIP:_____________

Country: (If applicable) ____________________________________________

NAME OF PLAY: ______________________________________________ 

We agree to the above terms and conditions:

Signed:_____________________________Title________________________ Effective

Date:________________

Please copy this form.

Make check or money order payable to: John Burkhart.

Send completed form with payment to address below:

John Burkhart

3409 Neerpark Dr.

Lincoln, NE 68506

 We thank you for your order!