ENTRY FORM

THE RAVENGLASS POETRY PRESS

POETRY COMPETITION 2012

Name:

Address:                                                                       

Postcode

 

Tel:

Email:

DECLARATION

I confirm that the following poem(s) is/are my own work and that I hold the copyright.

 

I further confirm that the poem(s) I now submit has/have not been broadcast/published elsewhere.

 

Title

Title

Title

Title

Title

 

Signature

Date

 

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