WGA Theatrical Screenplay Awards

I am submitting for a:
Name of Entrant
On Behalf of (Company Name or Writer)
Entrant's Address
City
State/Province
Zip/Postal Code
Country
Tel. No. (home)
Tel. No. (office)
Email
Submission
Title
Final Writing Credit
Theatrical Run
Date of Initial Release
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(Must be between January 1, 2024 and December 31, 2024)
Theater Name
Duration of Run
(E.g. 2 months)
Production Company
Full Name of Production Company
Address
City
State/Province
Zip/Postal Code
Country
Tel No.
Email
Contact
Written under which Guild’s jurisdiction?