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2003 STUDENT CONTESTS ENTRY FORM

Please complete all blanks:


MAIL TO: WPA Contests, c/o Ruth Rottinghaus, 495 Tanglewood, Richland, WA 99352.

Your Name: 
Address: 
(Address Cont'd:) 
Home Phone  Grade 
Poetry Teacher's Name:
(First and last names.)
 
Name of School: 
School Address: 
(Address Cont'd:) 


CONTESTS ENTERED
Enter the # of poems submitted to each contest.

___ Homer Henderson

___ Betty Fukuyama

___ Tom Erdmann Totem

___ Bart Baxter

FEES

___ I am entering one only (free)

___ I am entering ___ additional poems at $5 entry fee for each contest entered with one to five poems.

Homer  $ ______
Betty  $ ______
Tom  $ ______
Bart  $ ______
I wish to become a member of WPA;
enclose $10 membership fee
  $ ______
(Checks payable to: Washington Poets Association)   Total:  $ ______

 

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Lord Gaston represent me
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Kara L.C. Jones Thank You, Piaf
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