Essay Contest Entry Form
(Print and complete this page and include it with your essay)
“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. ____________
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.