NASCAM - Live Performance Event License Application

A. EVENT ORGANIZER DETAILS

Organization / Company Name

Contact Person Name

Phone Number

Email Address

Postal Address

B. EVENT DETAILS

Event Name

Venue Name

Town/City

Venue Physical Address

Event Start Date

Event End Date

Estimated Attendance (Please tick one)

0 - 100 people

101 - 500 people

501 - 1,000 people

1,001 - 5,000 people

5,001+ people

Event Type

Charity Event

Commercial Event

Note: Additional information may be requested for licensing purposes. This may include playlists of the music to be performed.

C. FOREIGN PERFORMER INFORMATION

Required Documentation: Copies of passports for all foreign performers must be attached to this application.

D. DECLARATION

I declare that the information provided is true and correct.

I understand this application is for a license to publicly perform musical works within NASCAM's repertoire.

Applicant Name

Signature

Date

NASCAM LIVE PERFORMANCE EVENT LICENSE APPLICATION