Entry Form:

The 6th American Gem Short Script Competition

Partner: Write Brothers - Spring/summer 2007

Sponsored by: Write Brothers . Greenlight Script Coverage . Action Cut . FilmMakers magazine

Entry Form

MAIN CONTEST PAGE

Print this Entry Form and submit the following Checklist:
[ _ ] this entry form, completed and signed
[ _ ] a cover page with your name, address, script title, etc.
[ _ ] a copy of your short script
[ _ ] $29 check/money order ($19 to students***) payable to Media Pro Tech Inc. Postmarked by 02/15/2007.
[ _ ] $39 check/money order ($25 to students***) payable to Media Pro Tech Inc. Postmarked by 03/31/2007.
[ _ ] $55 check/money order ($31 to students***) payable to Media Pro Tech Inc. Postmarked by 06/25/2007.
[ _ ] $55 check/money order ($31 to students***) payable to Media Pro Tech Inc. Online by 06/30/2007.
[ _ ] Check here if paying by credit card/check via PayPal. Just hit the PAYPAL BUTTON on the RULES page.
(If you pay through PAY PAL INCLUDE A COPY OF YOUR PAID INVOICE WITH ENTRY!)

***Students must supply a letter from the head of the film department and/or equivalent declaring such status.

(Please print or type)

Name:

Address:

City:

State/Province:

Zip/Postal:

Country:

Home phone:

( )

Work phone

( )

Email: (Please print or type)

Script Title:

Genre:

# of pages:

Do you have representation?

Yes:

No:

Are you looking for representation?

Yes:

No:

How did you hear about our competition? (please specify)

Logline: (Brief description - PRINT One to two sentences describing the plot of your screenplay)

(For statistical purposes only)

Age:

Sex:

Occupation:

I have supplied truthful and accurate information in my entry form.
The material that I have submitted is mine, I own full copyright, free and clear of any interests, and the material is original to me.
I understand that many stories and ideas are similar in some ways, and although many stories or ideas are different, they may share a common theme.
The winners, finalists and semifinalists grant permission to FilmMakers.com to: use their names and/or likenesses for publicity and promotional purposes without further compensation; and post on its web site your script's logline, synopsis and screenplay excerpts.
In the event of any sale or option of your screenplay or teleplay that is due to the ongoing promotional efforts by FilmMakers.com, FilmMakers Magazine, and/or Media Pro Tech Inc., 7% (seven percent) of that amount will be paid by the purchaser, or you the writer, to FilmMakers.com.

I have read and understand, comply and agree full with all the RULES AND CONDITIONS for The American Gem Short Script Competition. By signing this legal document, I am taking full responsibility and liability for all my actions. Furthermore, I indemnify FilmMakers.com, Write Brothers, all the affiliates, sponsors, agents, consultants, judges of and from any and all claims (direct or indirect) or third parties, loss or liability, whether or not groundless, that may be asserted against you or incurred by you or any of your associates, at any time in connection with said material.

Signature

Date:

Send a completed Application Form, copy of your short screenplay and a
$55 Entry Fee (postmarked by final deadline 6/25/2007); $55 Entry Fee
(Online by final deadline 6/30/2007). Make your money order, bank/personal check,
credit card check (in U.S. funds only) payable to:  
Media Pro Tech Inc.
C/O American Gem, P.O. Box 4678, Mission Viejo, CA 92690

MAIN CONTEST PAGE

RULES & CONDITIONS