Saint James was born in Los Angeles, California, to a Connecticut family, the daughter of Constance (Geiger) Miller, a teacher, and Charles Daniel Miller, who worked for Mitchell Camera and later became the president of the Testor Corporation. Saint James was raised in Rockford, Illinois, where she began modeling as a teenager. In her younger school years she attended the Woodlands Academy of the Sacred Heart in Lake Forest, Illinois. She later attended the Connecticut College for Women.
Saint James's first screen role was in the TV movie Fame Is the Name of the Game (1966) with Tony Franciosa, launching her career when it became a series two years later. Among her other early television appearances were two episodes of the first season of Ironside ("Girl in the Night", December 1967 and two months later, playing a different role in the episode "Something for Nothing"). She also had a supporting role in Where Angels Go, Trouble Follows (1968), the sequel to The Trouble with Angels.[citation needed]
From 1968 to 1971, as a result of her first role in Fame Is the Name of the Game, Saint James had a regular part in the series The Name of the Game, winning an Emmy Award for her role as research assistant Peggy Maxwell in 1969 and establishing her as a popular young actress. The series format, set at a large media company, featured rotating lead characters played by Tony Franciosa, Gene Barry, and Robert Stack – generally only one of their characters seen each week. Saint James provided a measure of series continuity by appearing as a research assistant at various times to all three. She appeared in approximately half the episodes, usually in a supporting role, although her Peggy Maxwell was the primary character in the second-season episode "The King of Denmark," alongside Franciosa's "Jeff Dillon". As well, in the first-season story "Pineapple Rose" (a Gene Barry segment), Saint James was prominently featured when her character was kidnapped in a case of mistaken identity.[citation needed]

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