The BRIDPORT PRIZE - Short story and poetry competition

The Bridport Prize - Entry Form - Closing Date 30th June 2007

Fill in the form onscreen, Click on Print Page button at bottom, Sign and Post to:-
The Bridport Prize, Bridport Arts Centre, BRIDPORT, Dorset DT6 3NR, UK

I have read and agree to the Rules of the competition:
Name
Address
Post Code

Telephone

E-Mail Address

Titles for Stories:

Titles for Poems:

How did you know about this competition?

FEE = £6 per poem or story submitted
entries @ £6 =
Plus 2006 Anthologies @ £12 =
If you do not live in UK then add p & p of Ł2.50 per anthology
Plus p & p for Anthologies @ £2.50 =
TOTAL COST:

Cheque enclosed or... Credit Card Details (Mastercard/Visa/Switch only)

Name
Address

Credit Card Number:		Credit Card Start Date:
Credit Card Expiry Date:		Issue Number (Switch Only):
Signature:

Entry Number_{(official use only)}