Cruse Bereavement Care
Poetry Competition (2008)
Entry Form
I would like to enter the following poems for the competition and enclose a cheque for £......................made payable to Cruse Bereavement Care (Tyneside):
(please complete as appropriate)
£5.00 per group of 1 to 5 poems................... Titles................................................................................
£10.00 per copy of anthology........................ ........................................................................................
£5.00 as a voluntary donation....................... ........................................................................................
TOTAL ......................... ........................................................................................
........................................................................................
I have not included my real name but have written a pen name on each page.
Pen Name............................................................................
I am 14-18 years / over 18 years (delete as appropriate)
Name..............................................................................
Address...........................................................................................................................................................
...................................................................................................Postcode........................................................
Email..............................................................................Telephone..................................................................
Post to arrive not later than 21/03/2008 at: The Competition Administrator,
Cruse Bereavement Care, 2 St Gabriel’s Avenue, HEATON, Newcastle upon Tyne, NE6 5QN
Use your computer’s “print screen” facility to print off this form, complete it and and send it with your entries together with your cheque GOOD LUCK!