SPEC SCRIPTACULAR COMPETITION ENTRY FORM (Please Type or Print Legibly) Writer(s): ____________________________________________________________________ Address: ____________________________________________________________________ Daytime phone:_______________________________________ E-mail address:_______________________________________ Title: ____________________________________________ CATEGORY (Check One): Sitcom: ________ Action/Drama: ________ Pilot/MOW/Special: ________ ENTRY FEE Enclosed is a check for $40: ________ Enclosed is a check for $90 which includes $50 for Larry Brody's Personal Feedback: ________ 1. I have read and understand all the SPEC SCRIPTACULAR rules on this page and other pages of this website. I understand that failure to adhere to these rules may result in disqualification. I fully attest to the fact that I am the sole creator and writer of my submission and have sole right and authority to submit it. 2. I agree to indemnify the DPEC SCRIPTACULAR COMPETITION, TV WRITER.COM, WRITESAFE.COM, Cloud Creek Institute For The Arts, Larry Brody, Terry Porter and the Terry Porter Agency from any and all claims, loss or liability that may be asserted against them or incurred by them and their associates, at any time in connection with the submitted material. Submittor_______________________________Date_________________ Submittor_______________________________Date_________________ Make check, money order or cashier's check in US funds payable to: CLOUD CREEK INSTITUTE FOR THE ARTS Mail your check or money order, this form and 2 copies of your submission to: CLOUD CREEK INSTITUTE FOR THE ARTS CLOUD CREEK RANCH 3767 MC 5026 ST. JOE, AR 72675 All entries for the current Competition must be postmarked on or before June 1, 2005.