Entry Form, - print and complete this page and include it with your essay

Essay Contest Entry Form

 (Print and complete this page and include it with your essay)

Essay Topic:

“Why do you want to own The High Street Victorian Bed and Breakfast?"

  

Entry Number__________________ (this space to be completed by judges)

Last Name: _______________________________________________________________

First Name: ________________________________________________M.I. ____________

Address: _________________________________________________________________

State: ________________________________________ Zip Code____________________

Telephone Number (s)_______________________________________________________

Email Address: ____________________________________________________________

The undersigned has read the *Essay Contest Rules and has agreed to abide by the rules as noted.

Entrant Printed Name: _________________________________________________________

Entrant Signature: ____________________________________________________________Date: ________

Attach your essay securely to the entry form and then securely attach a Bank certified Money Order or Bank Certified Check in the amount of One Hundred Fifty Dollars ($150.00) payable to “High Street Victorian Essay Contest”, on top of the Essay.

 Entries must include entry fee and stamped self-addressed envelopes as described in the *contest rules.

Mail as specified in the Rules.  Entries must be postmarked on or before NOVEMBER 15, 2015.

The entries must be addressed to: High Street Victorian Essay Contest, PO Box 247, Boonville MO 65233, USA. Responsibility for lost, late or misdirected entries rests with the entrant.

* http://winhighstreetvictorian.blogspot.com

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