OFFICIAL ENTRY FORM - 2010 Writers-Editors Network Writing Competition
A 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 ____________________________________________________________
Note how you want your name on Winners List/Certificate if different from above:
______________________
2. Mailing address _____________________________________________________
______________________________________________________________________________
3. E-mail address ________________________________________________________________
4. Phone number (______) ________________ Note: Postmark deadline is March 15, 2010.
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A-Nonfiction/Previously Published B-Nonfiction/Unpublished or Self-Published
C-Fiction/Short Story D-Fiction/Novel Chapter
E-Children's/ Short Story/ Nonfiction Article/ Book Chapter/ Poem (circle one of these four)
F-Poetry/ Free Verse/ Traditional (circle one of these two)
8. ENTRY FEE (check one and enclose) (US $ only):
Membership number if entering as a current CNW/FFWA member (see your Press ID card/tag if not sure) ______
/ / $3, I am a current Writers-Editors Network member or am joining at this time, and entry is one poem.
/ / $5, I am not a member and am not joining at this time, and entry is one poem.
/ / $5, I am a current Writers-Editors Network 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 Network member (or am joining at this time) and entry is between 3,000 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 _________ (min $25)
credit card signature _______________________________________________________________
9. SEND entry form(s), with fee(s) attached, to: CNW Publishing, PO Box A, North Stratford NH 03590.