Entry Form
(Dream Quest One Poetry & Writing Contest - Summer 2014)
*Extended
Postmark deadline is: AUGUST 11, 2014
Make
personal checks, cashiers checks or money orders payable to:
"DREAMQUESTONE.COM". Cash payments are accepted,
but will
be sent at your own risk. All payments must be in the form of US
Currency dollars/funds. Dreamquestone.Com
is not responsible for
lost entries.
Date:________________________________________________________
Phone# (optional): _____________________________________________
Age: _______________________
Mail
Entries to:
Dream Quest One
Poetry & Writing Contest
P.O. Box 3141
Chicago,
IL 60654
USA
Name:_____________________________________________________________________________
Address:___________________________________________________________________________
City/Province:_______________________________________________________________________
State:______________________________________________________________________________
Postal/Zip code: __________________________________
Country:___________________________________________________________________________
E-mail address (optional):______________________________________________________________________________
Number of Poems: _________ Number
of short stories:___________
Total Amount enclosed:
$_________ Total Amount enclosed: $___________
Method
of Payment: Check/Money
order ____ Cash____ PayPal____
Checklist: Entry:
Poem(s)___ Story(ies) ___ Completed Entry Form_____
Payment:____
S.A.S.E.____
Brief biographical info: (Please tell us about yourself):
_________________________________________________________________________________________
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_________________________________________________________________________________
_________________________________________________________________________________
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(Use additional sheet if necessary)
*Extended Postmark deadline:
August 11, 2014. All poetry and writing contest winners will be notified, announced and published online in the Dare to Dream
pages, on October 5, 2014.
