The 2nd Annual Per Contra Prize
Entry Form (Printable)
NAME OF AUTHOR:
ADDRESS OF AUTHOR: (Street address, City, Country, Mailing Code)
TITLE OF STORY:
NUMBER OF WORDS:
I CERTIFY THAT THE ENCLOSED STORY IS MY ORIGINAL WORK, AND THAT IT HAS NEITHER APPEARED IN PRINT OR ELECTRONIC PUBLICATION NOR HAS IT BEEN ACCEPTED FOR PUBLICATION IN PRINT OR ELECTRONIC PUBLICATION, AND THAT I AM 18 YEARS OF AGE OR OLDER. (When the story is the product of a collaboration by two authors, both signatures are required).
CHECKLIST FOR EACH ENTRY:
COMPLETED ENTRY – Must include a separate cover sheet for each submission.
NAME of AUTHOR,
TITLE OF STORY
NUMBER OF WORDS
TYPED (GOOD PHOTOCOPIES ARE ACCEPTABLE)
TITLE ON TOP OF EACH PAGE
NAME OF AUTHOR ONLY ON COVER SHEET, NOT ELSEWHERE IN MANUSCRIPT
Cashier's Check or Money Order for $10.00