Entry Form: Sarabande Books Literary Contests

FOR OFFICE USE ONLY

(Print this page and complete. Please type or print clearly.)

1. Contest Entered (Circle One)               FICTION               POETRY

2. Title of Manuscript:

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3. Name:

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4. Are you a US Citizen?
(Citizenship is required for this contest.)

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5. Address:

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6. Telephone Number (including area code):

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7. Email Address:

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6. Have you published any other books? If so, give title, year, and publisher:

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7. For mailing list purposes only, is this the first time you have entered this contest?
 
    (Circle One)      Yes      No

8. Where did you hear about this contest?

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