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Whigmaleerie Poetry and Prose Work Submission Form:
Today's date:
Author's full name:
Pen name if desired:
Age of author: (You may state "adult" if not a minor)
Minor's legal guardian's signature:
Postal address:
Phone number:
Email address:
Website URL:
Title of work submitted:
Contest entered:
Judging fee enclosed: $
(First two works per contest require no fee)
Name author wishes to appear with work should the work be approved for an anthology:
Additional Comments:
Please print a copy of this form and mail it in with your work and a SASE. Mail all submissions to the following address:
Whigmaleerie Press
P.O. Box 5441
Goodyear Arizona 85338 USA
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