Please print this form, fill in and sign in the appropriate spaces and return it with your script and entry fee. You may pay with Visa, Mastercard or American Express online.

Date: __________________

Name:______________________________________________________

Address:_____________________________________________________

City:__________________ State:______ Zip:_________________________

Email:__________________________Phone:________________________

Please accept the following screenplay, herewith known as an entry in the 20/20 Screenwriting Contest.

Title of Screenplay:
_______________________________________________________________

Signed: _____________________________________________
(Your Signature)

If co-authored:
____________________________________________________
(Co-Author's Signature/s)

If paying your entry fee by check, please have the check accompany this entry form.