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
