Sonnet Competition Adult Entry Form






The Shakespeare Club of Western Australia Inc.
Sonnet Competition Adult Category Entry Form
Do not put your name on your sonnet entries
Full Name


Address


Phone Number


E-mail



Titles
(Up to three sonnets may be entered)
1.    ___________________________________
2.    ___________________________________
3.    ___________________________________




Number of Entries @ $10: ..............
Total Payment:…………….
I am paying by:  Cheque  OR  Money Order OR Bank Transfer
If payment by Bank Transfer, complete the boxes below.

Transfer made to Bankwest $.........Date……………
Bankwest BSB 302-162    Account No. 0881937
 The Identifying Name on the transfer to Bankwest is:
……………………………………

Privacy Notification: The information requested is being collected by the Shakespeare Club WA only for the purposes of this Sonnet writing competition.

Declaration:
I declare that this entry is an original work. I have not copied all or part of it from another writer. I have not taken someone else’s work and put it in my own words. My entry has never before been published. I have read the Competition Rules.
Signed:

Date:


Copy and paste the form to print it out for completion and mailing.

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