PLEASE PRINT THIS FORM, COMPLETE AND INCLUDE WITH YOUR ENTRY(IES).

 

DROMINEER LITERARY FESTIVAL 2010

Poetry & Short Story Entry Form

Closing Date: 27 August 2010

NB - Please read the conditions of entry before completing this form.

   Name:                                                                                                                      
   Address:
 
 
 
 
 
 
 
   Telephone 
   (day)                               
     
   Telephone 
   (evening):
 
   Mobile  
   Email:  
  Confirm Email:  
 
 
I enclose the following poems/short stories: (Delete as appropriate)
Please indicate beside the title whether it is a short story or poem
Word/Line Count
Title 1  
Title 2  
Title 3  
Title 4  
Title 5  
Title 6  
        
         Please attach further titles separately - there is no limit to the number of poems/short stories you can enter.
 
         I enclose five euro for the FIRST POEM entered and three euro for each ADDITIONAL TITLE.
         I enclose ten euro for every SHORT STORY entered.
         PLEASE MAKE CHEQUES PAYABLE TO Dromineer Literary Festival (NO CASH PLEASE).
 
         Total payment enclosed:
         ________________________________
 
         PLEASE SEND TO:
         Deborah Powell, Secretary,Dromineer Literary Festival, Ballycommon, Nenagh, Co. Tipperary.
        Thank you for entering our competition.
 

Pat Kelly, Chairman Pat.Kelly6@gmail.com Phone: 087 6908099 Eleanor Hooker, PRO emhooker@eircom.net Phone: 087 7535207