Muse Prize Entry Form

Entry Form for the WFOP Muse Prize for Excellence in Poetry
Deadline February 1, 2008; contest opens December 1.

name:

e-mail:

address:

city:

zip code:

telephone:

poem title:

first line:

I am a Wisconsin resident, 18 years of age or older. The poem I am submitting is my own original unpublished work and not under consideration elsewhere at this time.

signature:

date:

Newspaper (name & address) to be notified if I should win (optional):

Enclose entry fee & make check payable to: WFOP Literary Fund

$3.00: current WFOP member
$6.00: non-member

Mail entry to:

Muse / Rafal
P. O. Box 340
Baileys Harbor, WI 54202

DEADLINE: February first

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