Entry Form

Dream Quest One Poetry & Writing Contest –

Winter 2017 -2018

*Postmarked deadline is: FEBRUARY 28, 2017, at 11:59 PM, PST.

Make personal checks, cashier’s 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/Provinces:_______________________________________________________________________

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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(Use additional sheet if necessary)

*Deadline: Entries must be postmarked by February 28, 2018, at 11:59 PM, PST. All poetry and writing contest winners will be notified and published online in the Dare to Dream pages, on March 31, 2018.

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