Entry Form

(Dream Quest One Poetry & Writing Contest)

Postmark entries by July 31, 2008

  Make personal checks, cashiers checks or money orders payable to: "DREAMQUESTONE.COM".  Cash payments are accepted, but will be sent at your own risk.  All payments must be in the form of US Currency dollars/funds.  Dreamquestone.Com is not responsible for lost entries.

Date:_______________________________

Phone#(optional):

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Age (optional):______

Mail Entries to:                     

Dream Quest One

Poetry & Writing Contest

P.O. Box 3141

Chicago, IL 60654

Name:_____________________________________________________________________

Address:___________________________________________________________________

City/Province: ______________________________________________________________

State: _____________________________________________________________________

Zip code________________________

Country: __________________________________________________________________

E-mail address (optional): ______________________________________________________

Number of Poems: _________                       Number of short stories:_________

Total Amount enclosed: $___________       Total Amount enclosed: $___________

Method of Payment:  Check/Money order ____   Cash____    PayPal____   

Checklist:  Entry: Poem(s)___        Story(ies) ___    Completed Entry Form_____    Payment:____         S.A.S.E.____

Brief biographical info: (Please tell us about yourself): _____________________________________________________________________________________

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(Use additional sheet if necessary)

 Contest Deadline: July 31, 2008. All poetry and writing contest winners will be announced and published on August 31, 2008.

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