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Deidre Penhall Memorial Poetry Prize 2023

Download an entry form Writing comp entry form 2023V2

ENTRY FORM

 

Please use one entry form per contestant.

 

Each contestant may enter one or two poems.

 

Entries close 5 pm Wednesday 21 December 2022.

 

Name of poet/contestant __________________________________

 

Postal address:

 

 

 

Email address:

 

 

Contact phone number:

 

 

Poem title _______________________________________________

 

 

 

Poem title _______________________________________________

 

 

 

I agree to the conditions of entry. Signature of poet …………………………………….

 

Date:

 

 

Post or email entry forms and poems to:         

                                                                                    

Rotary Club of Orange Inc.

PO Box 52                                                                

ORANGE NSW 2800                                              

contact@rotarycluboforange.org.au

 

Direct deposit entry fees ($10 per poem) to:

 

Rotary Club of Orange Project Account

BSB: 082 774

Account number: 50985 7605

Please include ‘BP and your name’ as a reference