Entry form

From Poetry and Poetics Centre

Max Harris Poetry Award 2008

Name of entrant: ………………………………………………………….....
Postal address: ...……………………………………………………….......
Suburb: ........................................................ State: …… Postcode: ............
Phone (Home): (…) ………………… (Mobile): …………………………..
Email: …………………………………………………………………………

Poem title(s):
1 ……………………………………………………………………………….
2 ....…………………………………………………………………………….
3 ....…………………………………………………………………………….

I enclose a cheque/money order of $ …. for my .… poem(s) entered in the competition.
I have made my cheque/money order payable to the Max Harris Poetry Award, Poetry and Poetics Centre, UniSA.
I declare that the enclosed poetry is entirely my own work and has not been previously published.
I agree to the conditions of entry and accept the judges’ decision as final.
Should my poem(s) be chosen for the Max Harris Poetry Award poetry collection 2009, I hereby give permission for my poem(s) to be published in this book.

Signature: ...……………………………………………………………….…
Date: .………………………………………………………………………....

Please post entries to:
Max Harris Poetry Award
c/o Poetry and Poetics Centre
School of Communication
University of South Australia
St Bernards Road
Magill SA 5072

Email: poetryandpoeticscentre@unisa.edu.au
Website: www.poetryandpoeticscentre.com

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