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Business Information
Last Name *
Theater License Application
Contact Person Information
License End: May 1
State
Address
Your
Town
Zip
Email*
First Name *
Name *
Lot
Signature
Telephone # *
City
Block
Seat Information and Fees
123 Main Ave
Your Town, USA 90210
(555) 378-7715
www.yourtown.us
Please note that the fee for a theater license is $20.00/100 seats or any parts thereof.
Required Fields*
Fee Due