Application Form - 2021 New Works of Merit Playwriting Contest

PLEASE COPY AND PASTE THE APPLICATION INTO A WORD DOCUMENT,
FILL IT OUT, AND SUBMIT WITH YOUR SCRIPT. 

(Submission Date_____________  

Title_______________________________________________________________________

Name of Playwright (if more than one, please submit all names)

___________________________________________________________________________

Submitter's Address___________________________________________________________________

Phones ______________________________ Email ________________________________

Please identify ONE contest criteria that your script matches
(See Home Page for Script Criteria)

___________________________________________________________________________

Submission Method:     Electronic 

# of Critiques Requested _____  (0, 1, 2)

Method of Payment:  PayPal / Credit Card 
Transaction I.D. #  __________________________________

Amount Paid $______________

A one or two sentence Log Line ___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

How did you hear about the contest? 

___________________________________________________________________________


Submitter confirms that the play submitted and noted on this Application was written by him/her (as noted on the Cover Page), either solely or as one of several writers, and that he/she owns exclusive or shared copyright.

Submitter's Name:  __________________________