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2014 Utmost Christian Poetry Contest

Entry Form

You may fill in this form from your keyboard and print it. Or you may print the blank form and fill it in by hand. The completed form (either way) must accompany your entries. This form cannot be sent by Internet or email. (We will also accept a hand-written facsimile of this form.)

Poet's Name:

Address:

City:

State/Province:

Country: Postal Code:

Telephone:

Email Address:

Are you a Christian by our definition? Yes

Titles of your poems (maximum 5):





Two Payment Options:

1. Payment enclosed: $20 per poem. Send cash, check or international money order by post.

    OR

2. Click the button to pay your entry fees securely by Internet.

           

Payment made:   $20 per poem (have sent payment by PayPal)

My PayPal account name is:  

The poems enclosed are original creations written by me. They have not won any previous contest and are not entered in any other contest. They have not been published, nor are they presently submitted anywhere for possible publication. I have read the rules and understand them.


Please sign your name in box above to affirm.  

Make your check payable to: Utmost Christian Writers. Mail to: Utmost Christian Writers Poetry Contest, 121 Morin Maze, Edmonton, Alberta, Canada. T6K 1V1. Nathan Harms (780-265-4650)