PLAY ASSESSMENTS REQUEST FORM
(Please complete a separate
request form for each play to be assessed. Please note a small fee may apply.)
I wish to have my play assessed. The title of my play
is:……………………………………………………...............
Please state if the play is one act or full length
………………………………………
My name is
………………………………………………………………….
My full address is
………………………………………………………………….
………………………………………………………………….
Phone number
………………….……… Fax
number ………..…….……….Email
address
…………………………
I understand that whilst every care will be exercised with my
manuscript, no responsibility for loss or damage can be accepted
by the Association.
I certify that this play is my own original work and that I
am a current financial member of The Playwrights Association of
NZ Inc.
Signature
…………………………..……….………
Date …..………………..
Print this form. Complete, Sign and Mail the form with a copy
of your play to:
June Allen, 86 a Lynn Rd, Bayview, North Shore City 0629, New Zealand
NB Scripts for assessment must be written in English
and accompanied by a stamped addressed envelope for the return of
the MS.
(administrative use only)
Play received on ………………. Date
play referred …………………Diaried
for Return ................................Follow up
.........................
Name(s) of the Assessor(s) to whom this play has been
referred:-
Assessor 1
………………………. Assessor
2 ………………………….
Date assessment and play received from Assessor 1
…...……… Assessor 2
……………….
Date assessment and play returned to Member Playwright
………………………….
