|
|
Fourth Wall Coverage
Order Form
__________________________________________________________________________
|
|
|
Personal Information
|
|
|
|
Last Name First Name MI
|
Street Address
|
City State Country Zip
|
Phone Email
|
|
|
|
|
Submission Information
|
|
|
|
Title of Work Author(s)
|
Type of Work
_______ Screenplay ________ Treatment
|
Page Count
_______ 1-130 ________ 130+
|
Genre
_______ Action/Adventure ________ Comedy ________ Drama
________ Horror ________ Suspense/Thriller ________ Other
|
WGA Registration # and/or U.S. Copyright ID
|
|
|
|
|
Submission Return Information
|
|
|
|
All submissions will be properly disposed of after completed service. If you would like your script and/or treatment returned to
you, please send a SASE with your order materials.
_______ Yes, I would like my submission returned to me and I will enclose an SASE
_______ No, please properly dispose my submission after service
|
|
|
|
|
Services Requested
|
|
|
|
CHECK
HERE
|
PACKAGE
|
PRICE
|
| |
BRONZE (Treatments Only) $70
|
|
| |
SILVER (Industry Standard Coverage) $100
|
|
| |
GOLD (Analysis) $250
|
|
| |
PLATINUM (Extended Analysis) $400
|
|
|
|
|
|
| |
ADD $1 FOR EACH ADDITIONAL PAGE AFTER 130
|
|
|
|
|
|
|
|
|
|
| |
REWRITE* (SUBTRACT 25%)
VOUCHER #
|
|
| |
RUSH SERVICE** (ADD 50%)
|
|
|
|
|
|
|
|
|
|
* ONLY ON PREVIOUSLY PURCHASED GOLD & PLATINUM PACKAGES WITHIN ONE YEAR
** NORMAL TURNAROUND TIMES ARE CUT IN-HALF WITH RUSH SERVICE
|
|
|
|
BACK
|
|