Around The Block / Al Doblar La Esquina Arts and Technologies in NYC Communities 5 East 22nd Street, Suite 9k New York, NY 10010 http://www.aroundtheblock.org info@aroundtheblock.org 212.673.9187 Application for the Raymond J. Flores Short Play Series Spring 2009 Please Fill In All Information Name: Address: Telephone(s): email: Around The Block member (y or n)? Play(s): (maximum of 15 minutes each; playwright must hold all production and publishing rights.) Title of Work Estim. length (minutes) Submitted scripts will not be returned. May we keep them for our archives? Yes ? No (destroy) ? Your signature below constitutes acceptance of these terms. Submitted by: ____________________________________ Date: ____________________________________ Email script and a one-paragraph bio to info@aroundtheblock.org, and send by U.S. Mail a completed form and - if you are not an ATB member - a check for the application fee (or Around The Block membership dues) to Around The Block 5 East 22nd Street, #9k New York, NY 10010 OR mail or hand-deliver completed form, two copies of script, application check, and a bio to the above address. Submission Deadline: Submission must be received by November 30, 2009.