Critique and Consultation Submission Form
(Please print out or highlight, copy and paste into an email. Use additional pages if necessary.)

Name
Street Address
Address Line 2
City
State Zip/Postal Code

Phone number to call for contact and coaching sessions

Fax Email:

Project Title

Author (if different from above)

Format: Screenplay Outline Pitch

Play Novel Manuscript Other

Intended Market: Hollywood Studio Low Budget Independent Foreign TV


What time commitments are you willing to make for completing your screenplay?
hours per week.

Who referred you, if anyone?

What has been your exposure to Michael’s principles and methods up to now (please mark all that apply):

Read his book Writing Screenplays That Sell

Heard him lecture
When
Where
Topics or lecture title(s)



Read his article on


Listened to his CD: Screenwriting For Hollywood
Listened to his CD: The Hero's Two Journeys
Watched his DVD: The Hero's Two Journeys
Watched his DVD: Creating Powerful Movie Scenes
Watched his DVD: Grabbing the Reader in the First 10 Pages
Watched his DVD: Mastering the 2 Minute Pitch
Watched his DVD: Writing Romantic Comedies and Love Stories
Other

What other screenwriting education have you had up to now? (What books, lectures, seminars, college degrees or coaching have you read, heard or experienced?)

What is your previous screenwriting experience?


Where do you want your career to be in two years?

What is your current job title or occupation?


Please indicate the package you prefer:

Hourly Coaching @ $250 per hour

The 6-Hour Package $1200

The 12-Hour Package $2100

The 24-Hour Package $3500

Manuscript Consultation Package $1400

Story Selection and Script Preparation Pacakge $400

Pitch Coaching (30 minutes) $125

Pitch Coaching (90 minutes) $350

Story Analysis and Screenplay Critique (Ginger Earle) $350

Style, Format and Language Edit (Ginger Earle) $450

Other

Payment enclosed: $

If you prefer to pay by credit card, please email this form to Michael@ScreenplayMastery.com, and ask us to email you an invoice for the total amount through PayPal.

Before submitting this form read all the submission instructions here. Or visit http://www.screenplaymastery.com/client_info.htm

If submitting by mail, please enclose a check for the total amount along with this submission form and your script, outline, or whatever other materials are appropriate for the program you’ve chosen. Please mail all these materials to: Michael Hauge, 5250 Lemona Ave, Sherman Oaks, CA 91411.Then email Michael at Michael@ScreenplayMastery.com when you have sent your materials and payment. You will be contacted upon receipt of your materials. If you have any questions, please don't hesitate to call Michael directly at (818)995-4209 or email us at Michael@ScreenplayMastery.com.

 



 

 

 
 

 

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©2007 Michael Hauge