2013 Edgar Allan Poe Awards®

Entry Form for Television Series Episode Teleplay

(for works released/aired in 2012)

Please read submission information before completing this form.
A separate entry form must accompany each work submitted.

Note: All fields are required.

General Information
This will let us get in touch with you if we have any questions about your submission.
Submitted by E-mail address
 
Information About the Work
Title
Writer(s)

 All writers who have screenplay, teleplay, or story credit must be listed. Please include name of writer if screenplay is adapted from another medium.
Series Name Release/Air Date 2012
Producer Network/Studio
 
Contact Person
(This person can immediately provide bios, photos, and contact information on nominated candidates.)
Name Company
Address City
State Zipcode
Telephone Fax E-mail
 
Human Check
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Mail DVDs or videocassettes to each committee member for the appropriate category.
Do NOT include reviews or other promotional materials along with your entry. Do NOT contact the judges regarding this or any other submission (beyond sending the entries). Contacting the judges directly might make this submission ineligible for consideration. Contact us for a list of committee members and mailing addresses.

Questions should be sent using our interactive response form.