ScriptMentors.com                                  SUBMISSION FORM

 

Please type, or print clearly. Use one form for each piece of material submitted.

 

Name: __________________________________________ Date: ______________

 

Address: ___________________________________________________________

 

City: _______________________ State: __________ Zip: ____________________

 

Phone: ___________________ E-mail: ____________________________________

 

Title of Material: ______________________________________________________

 

Writers Guild of America or Copyright #: ___________________________________

 

Genre: _______________________________________ Page Count: ____________

 

           Service Desired:

 

                              ___ (1) Coverage (Scripts)                                  $180.00

                        ___ (2) The Top Ten                                           $300.00

                              ___ (3) The Top Thirty                                        $500.00

                              ___ (4) Development Notes                                $600.00

                              ___ (5) The One Page                                         $750.00

                              ___ (6) Script Analysis                                     $1,000.00

                              ___ (7) Scripts over 125 pages,

                                           add $3 per extra page.

                                           Total extra pages                                     ______

 

                                      Total Amount Enclosed:                      ___________

 

Make Money Orders payable to: SagaFilm, Inc.

 

Mail your payment, Release Form, material and SASE* to:    

 

  ScriptMentors.com

                                      P.O. Box 50130

                                      Pasadena, CA 91115

 

* Please make sure you include a self-addressed, postage-paid envelope for the return of your material.