Submission and Release Form
  
 

Please fill out this form to submit projects to Union Patriot Capital:
       
First Name: State:
Last Name: Zip:
Address: Phone Number:
City: Email:
       
Title of Work: Number of Pages:
       
Time Period: Genre:
Story Logline:
       
FINANCING ATTACHED: DISTRIBUTION OR FOREIGN PRE-SALES ESTIMATES:
       
Story Synopsis
       
Submisission Release Agreement
       
  Yes, I have read and agree to abide by the rules and guidelines on the SUBMISSION RELEASE AGREEMENT.