Fall 2006 - Agent Pitch Request Form

Requests will be taken on a first come, first served basis. There is no extra charge to receive a pitch from the agent.

Please read the Agent Pitch Session instructions and Agent Pitch FAQ carefully!

Name:

Address:

City, ST, Zip:

Email address:

SCBWI Member? Yes No

Please indicate your 1st and 2nd choice for your pitch session (conference registration required):

Please let me know via email whether I received an Agent Pitch Session. I have included my email address above.
OR
Please let me know via the enclosed SASP (self-addressed, stamped postcard) if I have received an Agent Pitch Session.

I have also submitted a manuscript for the Critique Clinique: Yes No

To ensure that the most people get to meet with industry professionals, participants cannot have both an editorial critique and an agent pitch. (However, you can have an author critique and an agent pitch).

If I receive both an agent pitch and a one-on-one critique with an editor, I would prefer to have (select one):
editorial critique agent pitch session.

PRINT this form from your browser and send it to the CRITIQUE COORDINATOR, along with all other requested materials, per the Agent Pitch Request instructions:

Cheryl Reifsnyder, Manuscript Critique Coordinator
1019 Vivian Circle Boulder, CO 80303