The Kenneth and Geraldine Gell Poetry Prize 2009

Entry Form

Today’s Date____________________

Name__________________________________________________

Pen Name if Used_______________________________________

Address_______________________________________________

City/State/ Zip__________________________________________

Title of Manuscript______________________________________

________Have you included 2 title pages per Guidelines?

________$25 entry fee?  ________Postcard for receipt notification (optional)?

________No. 10 business-size envelope for notification of results (optional)?

OFFICE USE ONLY—DO NOT WRITE BELOW THIS LINE

CONTROL NUMBER:_____________________________________

DATE RECEIVED ________________________________________

_______________________________________________________________________