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entry form for Poetry & short prose contest

Deadline: February 29, 2008

Instructions: Fill out the form online, print, provide signature (if necessary), and include with your entry. You may also print the form, provide your information, and submit with your entry. Contest Guidelines.

Name:

Address:

City/State/Zip Code:

E-mail (optional):

Home phone (or phone number where we can reach you):

Entry category (please check one):

UNCP student
Area high school student (provide school name, county, and phone number below)
    

General public
Title of entry:

Signature granting publication rights. If a student under 18, signature of a parent or guardian.

______________________________________________________________

**************************************************************
LIBRARY USE ONLY

Date postmarked: _________________________

Number of words: _________________________
Number of entry: __________________________ (comprised of category A-C and number)
SASE included? __ yes __ no
Send entries to:         Jean Sexton
                                Chair, National Library Week Committee
                                UNC Pembroke
                                Mary Livermore Library
                                P.O. Box 1510
                                Pembroke, NC 28372-1510
                                1.800.949.UNCP

Updated: Wednesday, January 16, 2008

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