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June 9, 2008
Writing Competition
4th Annual Writer's Digest Poetry Awards Official Entry Form
Entry Deadline: Friday, December 19, 2008

Name ___________________________________________________

Address ________________________________________________

City ___________________________________________________

State __________________   Zip ___________________________

Country ________________________________________________

Phone (           ) _________________________________________

Email __________________________________________________

Please send me information via email about future writing competitions.

(You may submit as many entries as you like using this Official Entry Form.)


Entry Fee: $10 for first poem. $5 for each additional poem. (You may submit as many entries as you like using this Official Entry Form.)

__________ I am submitting 1 poem @ $10 per entry.

__________ I am submitting ________ poems at $5 each.

__________ I am ordering ________ Collection(s) at $8 each. (You are not required to purchase the collection to enter the competition.)

Total enclosed (U.S. Funds) $ __________


Method of Payment: (U.S. funds drawn on U.S. bank; payable to Writer's Digest)

__________ Check or money order enclosed (U.S. funds only)

Charge my:

__________ VISA

__________ MasterCard

Card No. __________________________________________________
         (Charge will appear as "F+W Contests" within 90 days of the contest deadline. There will be a $10 fee for all declined credit cards.)

Exp. Date _________________________________________________

Signature _________________________________________________


Print this page and mail completed form, poem(s), cover sheets and fee to:
WD Poetry Awards
700 East State Street,
Iola, WI 54990


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