Competition Entry Form

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THE SALOPIAN POETRY SOCIETY’S OPEN POETRY COMPETITION 2018

I submit………….poems @ £3 each - 2 COPIES OF EACH POEM PLEASE Cost £...............

or I submit 4 poems for £10 £................

or I submit 6 poems for £15

Plus……magazines containing winning poems @ £5-00 each (inc p&p)

There is no limit to the number of poems submitted.
  Total cost £..............

Members only: I submit…………poems @ £2 each Cost:-£

Name…………………………………………..

Address………………………………………… ……………………………………..
…………………………………………………….. ……………………………………..
…………………………………………………….. ……………………………………..
…………………………………………………….. ………………………………………
Post code……………………………….. E-mail …………………………………
 Telephone number. (Please print clearly.)

Please state how you heard about this competition

………………………………………………………………………………………………………..
If a C5 size S.A.E. is enclosed for a list of winners please tick here……..

Non winning poems from existing Members will be added to their folder for future publication in ‘Salopeot’ magazines, unless otherwise stated below.
Do not add my entries to my folder……..please tick if applicable, (Members only.)

Send entries to: Roger Hoult:, Competition Organiser:-
5,Squires Close,Madeley,Telford,Shropshire,TF7-5RU

Title/s of poem/poems.

POEMS MAY BE SUBMITTED WITHOUT AN ENTRY FORM PROVIDED THE RULES ARE AHERED TO AND THE INFORMATION REQUESTED ABOVE IS SUPPLIED.

THE ENTRY FEE MAY BE PAID DIRECTLY INTO THE SOCIETY'S BANK ACCOUNT AT:-

SALOPIAN POETRY SOCIETY

SORT CODE 30-18-55 ACCOUNT NO. 50780460

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