HOLLYWOOD SCRIPTWRITER SUBSCRIPTION FORM

(Print this form using your browser's Print button.)

YES! I DO want to subscribe to the HOLLYWOOD SCRIPTWRITER!

Please print clearly:

Name:_____________________________________________________

Address:___________________________________________________

__________________________________________________________

City:_________________________State:_____Zip:_________________

Phone:_____________________________________________________

Email:_____________________________________________________

Please start my subscription right away!

____ One year, U.S. & Canada - $35.00 (CA Residents please add 8.25% sales tax)

____ One year International - $50.00 (payable only by International Money Order in U.S. Dollars)

Also please send:

____ Most recent Annual Agency Survey - $5.00 (Only subscribers)

Subtotal _________________________

CA resident's tax 8.25% _____________

Total amount enclosed ______________

VISA/MASTERCARD # ________________________________ EXP. ____/____

Signature required for credit card orders _________________________________

Mail with your check or money order (made out to HOLLYWOOD SCRIPTWRITER) to:

HOLLYWOOD SCRIPTWRITER, P.O. Box 10277, Burbank, CA 91510

Or fax your order to 818-709-7540

Thank you!

The Baronage Contents page

220698