Entry Form Please print or type clearly. Address: ____________________________________________ email: ___________________________ City, ST Zip ________________________________________ Circle total number of entries per category:     Poetry:   1   2        Short Story:   1   2        Music:   1   2 (no more than two (2) entries per category)           (Circle Return if you want tape/cd returned) Description of each piece: ___________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ I (we) certify that the enclosed entry (entries) is (are) our original, unpublished work(s). I (we) have read and understand the contest rules and entry instructions as contained on the preceding/passthrough webpage and agree that the decision of the judges is final. ________________________________________________ Signature (with Date) ________________________________________________ Signature (with Date) Entries must be sent to: PO Box 8246 Portland OR 97207-8246 All questions concerning the contest and/or results should be directed to the above address or to eisteddfod@wiccon.org. |