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Entry Form
(Dream Quest One Poetry & Writing Contest)
Postmark entries by July 31, 2008.
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 (optional):______
Mail Entries to:
Dream Quest One
Poetry & Writing Contest
P.O. Box 3141
Chicago, IL 60654
Name:_____________________________________________________________________
Address:___________________________________________________________________
City/Province: ______________________________________________________________
State: _____________________________________________________________________
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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(Use additional sheet if necessary)
Contest Deadline: July 31, 2008. All poetry
and writing contest winners will be announced and published on August 31, 2008.
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