Name __________________________________________________________________________________

Title of Screenplay _______________________________________________________________________

Address _________________________________________________________________________________

City _______________________________________________________________

State/Prov. _________________________________ ZIP/PC _____________________________

Country ______________________________________

Phone ( __________  ) ________________________________

Email ___________________________________________________________________________________
(PLEASE NOTE: a current e-mail address is required as your script critique will be emailed to you)

ASA Membership # if applicable ___________________________

NON ASA MEMBERS
o Non - ASA Member: $120 for script up to 150 pages 

o Non - ASA Member: $145 for script 151 pages+ 
 

NON ASA MEMBERS OBTAINING AN ASA MEMBERSHIP AND CRITIQUE ALL IN ONE
Normally, ASA memberships are $75 per year. Now you can get a one time Professional membership for the discounted rate of $40 at the same time you order your script critique and receive the discounted critique service rate as well!  Offer valid on new memberships only. Not available on renewing memberships or combined with other offers.

o New ASA Member: $135 for script up to 150 pages ($95 ASA member rate + $40 membership fee)

o New ASA Member: $160 for script 151 pages+  ($120 ASA member rate + $40 membership fee)
 

ASA MEMBERS
o ASA Professional Member: $95 for script up to 150 pages

o ASA Professional Member: $120 for script 151 pages+
 

o ASA Platinum Member: $85 for script up to 150 pages

o ASA Platinum Member: $110 for script 150 pages+

o $35 RUSH SERVICE option selected 

Note: Usually, you should count on up to a month for the script to be processed, 
carefully read, and an thoughtful evaluation written and sent to you. Sometimes it
may take less than a month depending on the volume of scripts being read, or 
slightly longer based on other factors such as holidays, vacation, etc. 
The one month time frame listed above is based on when the reader receives 
the script from you.

The RUSH SERVICE enables you to get your script critiqued and your critique returned to 
you within 7-10 days from the date Sarah receives the script (not when you mail it). Again, 
depending on the volume of scripts being read, or slightly longer based on other factors 
such as holidays, vacation, etc. 

o  Check or money order enclosed (U.S. funds drawn on U.S. bank; made payable to:
        American Screenwriters Association)

Charge my:
o Visa 
o MasterCard
o Discover

Card No. ____________________________________________________________________________

Exp. Date ____________ / ________________

AVS (Address Verfiication) Code: ________________
(this is the 3 digit number found usually on the back of your card)

Signature ______________________________________________________________________