YOU MUST PRINT THIS PAGE AND SEND IT WITH YOUR FEE!
We are no longer accepting personal checks due to many of them bouncing!
Cash payments and Money Orders are accepted.
All payments must be in the form of US Dollars/Funds.
DO NOT SEND via certified mail. We are not available
to supply a signature upon mail delivery.
Mail Entries To:
Address: ___________________________________________________________________
City: ____________________________________ State: ______ Zip Code:__________
Country: ____________________________________
E-mail: __________________________________________________________________
Number Of Poems Submitted: ____________
Total Amount Enclosed: $ _______________ ($1.00 Per Poem)
(Remember, winner gets all entry fees as prize. Our mission is non-profit!)
Method Of Payment (X):
Money Order: __________ Cash: _________
(Payable to Amy Bell)
I certify that the poem(s) enclosed for The Poet Sanctuary Excellence Award Competition is/are my own original work and that I am 13 years of age or older.
Signature: ___________________________________________________ Date: ___________________
Current Deadline: June 1, 2012