REDCAR WRITERS 2006 JOAN DALTON MEMORIAL COMPETITION ENTRY FORM

Title of Work                                                                                      Poem or Story                             Fee

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Critique service if required (£5.00)
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Booklet of short listed entries (£4.00)
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Total
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I declare that the enclosed work is my own and has not been previously published. Age if under 16 ..............

Signed……………………………………………………….

Name____________________________________________

Address__________________________________________

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This form may be photocopied if required.