Date__________________

Page 1 of 3

Sign-Up Sheet

Full Name_________________________________________________________

E-mail address__________________________________________________

Repeat e-mail address____________________________________________

Home address__________________________________________________

PayPal Account info (Do not include password)_______________________

Home Phone__________________________________________________

Home Fax_______________________Cell Phone_________________________

I prefer to be paid monthly by:

o   PayPal

o   Snail mail

Please pick the type of advertising media you are attaching and giving us permission to post.

o        Query

o        Synopsis

o        Streaming video for a movie trailer

o        Movie treatment

o        Streaming video for a verbal query

o        Streaming video for a verbal synopsis

Fee based services:

We give the person wanting your information your e-mail address. Therefore there is a fee for administration costs. ($12.00/year).

.

o        Voice over / radio audition

o         A soliloquy audition,  head shot with resume

o        Headshots and/or modeling pictures/with resume

o        A resume/CV (Actors)  

o        Other__________________________________________________________

Signature___________________________ Date_________________________

Page 2 of 3

Actual  media to be e-mailed to the Patron

o   Novel

o   Novella

o   Short-story compilation

o   Song(s) melodies/lyrics

o   Script

o   Other_________________________

Options:  I wish to hold all actual media on my server and have PlotPitch e-mail me the patron’s request. I will then mail the patron the actual media by e-mail or snail-mail at my expense. (Fees for postage may be posted on your page.)

My actual media is protected: YES/NO

Name(s) of actual media (up to 3)

___________________________      ___________________________    ________________________

I own and have the right to distribute the above mentioned actual media. YES/NO

I hold PlotPitch harmless if my media is not protected. YES/NO

Please answer the following questions

I understand that…….

PlotPitch  is not an agent.

PlotPitch  does not own my property.

PlotPitch will delete my files within 24 hours after receiving an e-mail to do so.

PlotPitch  is not responsible to what happens to my actual media after it is e-mailed to the patron.  Patrons sign a non-disclosure agreement before receiving any and all actual media.

PlotPitch receives $3.00 for each media transaction. (PayPal fees are charged to the media owner.) Y

Signature___________________________ Date_________________________

Page 3 of 3

PlotPitch has three ways of doing business. Please check which service you prefer

o   The Patron informs us that he wants to buy your main media. He pays us and we wait until we get a confirmation that you have e-mailed the main media to him and then we pay you. This is done monthly by PayPal or snail-mail, whichever you prefer. You do not get receive their e-mail address.

o   The patron informs us that he want to buy your media. He pays us, we have your media on file and e-mail it to him. We notify you of the sale and pay you monthly.

o   The writer pays a $12.00 a year fee and we give you the patrons e-mail address and you mail him the actual media or we can, whichever you prefer.

Please print this out, sign it, date it and mail it back to:

PlotPoint

c/o Contracts

90 Oak Forest Circle

Charlottesville, VA 22901

• We will e-mail you when we receive this signed contract in the mail. The writer will then download the advertising media for PageReview. When PageReview has been approved we will download and store the actual media for each advertising media, if that is the option you have chosen.
• Once your account is activated all you have to do is bring people to your site and we will do the rest.
• Please fill in any information which you feel we may have left out._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

My signature below confirms that I own all the media listed in the above documentation. Please print out and mail to the above address. Please sign with a pen, do not use a computerized signature.

Signature___________________________ Date_________________________