2012 Seacoast Writers Association Writers Contest
Entry Form (Please print or type and submit with your manuscript and entry fee)
Name: ___________________________________________
Street Address: ____________________________________
City/Town: ______________________________ State: ____ Zip: ________
Telephone Number: ( ) _____________ Email: ______________________
Please accept my entry (ies) in the following category (ies):
Fiction Title: word count |
Poetry Titles(s): (up to 3 poems = one entry) ______________________________________
______________________________________ ______________________________________ |
Personal Essay Title: word count |
X I have enclosed the following: (Please check mark as appropriate)
| Two (2) copies of each manuscript |
| Contest fee for each category (members: $7 per category; non-members: $15) |
| Please make me a member! (Optional) ($25 – separate checks, please) |
Total amount enclosed: $__________ (U.S. checks or U.S. money orders only)
Please make checks payable to Seacoast Writers Association and mail with submission to:
Pam Gjettum
SWA Contest Chairperson
6 South Street
Exeter, NH 03833
This will acknowledge that I have read the SWA Writers Contest Rules and agree to abide by
those provisions. I understand that non-conforming entries may be disqualified.
Signature _______________________________________ Date ____________
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SWA use only: ID# _________________________