2012 The Suzannah Contest Entry Form and Waiver

Entries (including payment, entry, and entry form) must be received by Oct. 1, 2012 midnight.

Please review Contest Rules prior to completing this form for labeling and formatting instructions.

STEPS FOR SUBMITTING YOUR ENTRY:

1. Submit this form and select payment method
2. Make payment via Paypal or Check
3. Use provided link to upload your manuscript as an .rtf document

Please remember that your entry is not valid until payment has been received either via PayPal or check. You may pay with a credit card via PayPal. You do NOT need a PayPal account to pay using the PayPal method. Once you submit this form, you will be given a Paypal button to pay your fees (if you select Paypal as your payment method). If you prefer to pay via check, fill in the form below and then you will be given instructions on mailing your payment.

Cost $30.00 before September 1
Cost $35.00 on or after September 1

NOLA STARS members ONLY will receive a $5.00 NOLA STARS Member discount

First Name:

Last Name:

*Email:

*If you wish to receive confirmation of registration, you must indicate an e-mail id above.

Phone:

Mailing Address:

City/Town/Village:

State/County:

Zip/Postal Code:

Country:

Pen Name:

Entry Title:

Entry Category (see FAQ for guidance):

FOR WRITING PARTNERS – all partner’s real names:

Should partnership win, name and address of partner to receive trophy:

Should partnership win, name and address of partner to receive prize money:

Please use this box to pass on any special information you need to make known to our contest coordinator

CONTEST ENTRY FEES – PLEASE SELECT ONE:

Submission Date	Nola Stars member	All Others
Before 9/1/12	$25	$30
after 8/31/12	$30	$35

Method of Payment:

Paypal
CheckI request that the enclosed/attached original work be entered in the Suzannah Contest sponsored by NOLA STARs. I understand that contest judging is subjective and I may receive feedback from judges with which I do not agree. I agree to indemnify and hold harmless NOLA STARs, its officers, members, sponsor and all judges from liability for its actions arising from or relating to judging and handling of my entry.

I Agree – Enter My Work in the Contest
I Do Not Agree – Do Not Enter My Work in the Contest

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