OFFICIAL ENTRY FORM - 2009 Writers-Editors Network Writing CompetitionA separate form must accompany each entry (and each poem); print out several copies or photocopy form before completing for multiple entries. By using this form, you state that you have read and understand the full Guidelines. (Do not put name on entry itself.) 1 Name ______________________________________________________________________ 2.Mailing address _______________________________________________________________ ______________________________________________________________________________ 3. E-mail address ________________________________________________________________ 4. Phone number (______) ________________ Postmark deadline is March 15, 2009. 5. TITLE of entry _________________________________________________________________ 6. FIRST LINE of entry _____________________________________________________________ 7. Circle Division/Category of this entry: A-Nonfiction/Previously Published B-Nonfiction/Unpublished or Self-Published 8. ENTRY FEE (check one and enclose) (US $ only): / / $5, I am not a member and am not joining at this time, and entry is one poem / / $5, I am a current CNW/FFWA member or am joining at this time, and entry is under 3,000 words / / $10, I am not a member and am not joining at this time and entry is under 3,000 words / / $10, I am a current CNW member or am joining at this time and entry is between 3,000 words and 5,000 words. / / $20, I am not a member and am not joining at this time and entry is between 3,000 and 5,000 words. / / I have enclosed membership dues (see Membership page for choices here) in the amount of $_________. Make entry fee check or money order payable to: CNW Publishing. One check may be written to cover multiple entries if all are mailed in same package (but enclose separate entry forms for each entry). If entry fees/dues total $25 or more, you may charge to: VISA, MasterCard, Amex. Charge will appear on your credit card statement as "Cassell Commun/CNW Publish." Send SASE if you want a credit card receipt mailed to you. Card # ________________________________________ exp. ___________ Total $ charged _________($25 min) credit card signature _______________________________________________________________ 9. SEND entry form(s), with fee(s) attached, to: Writers-Editors Contest, PO Box A, North Stratford NH 03590 |