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Competition Entry Form

THE SALOPIAN POETRY SOCIETY’S OPEN POETRY COMPETITION 2009

I submit………………….poems @ £3 each cost £

I submit…………..poems @ £10 for 4 cost £

Members only: I submit………………poems @ £2 each cost £

Plus……………………Mags @ £3.00 each (inc p&p) cost £

  Total cost £

(Will include winning poems)

Name………………………………………….. Title of poems:-

Address………………………………………… ……………………………………..

…………………………………………………….. ……………………………………..

…………………………………………………….. ……………………………………..

…………………………………………………….. ………………………………………

Post code……………………………….. E-mail …………………………………

  Optional

Please state how you heard about this competition

………………………………………………………………………………………………………..

If S.A.E. is enclosed for a list of winners please tick ……..

Non winning poems from existing Members will be added to the panel folder for future publication in ‘Salopeot’ magazines unless otherwise stated.

Do not add my poems to the poetry panel folder……..please tick if applicable.

Send entries to: Roger Hoult:Competition Secretary:-

5,Squires Close,Madeley,Telford,Shropshire,TF7-5RU

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