SUBMISSION FORM
(Must reside in Cooper Landing, Funny River, Kasilof, K-Beach, Kenai, Nikiski, Ninilchik, Soldotna or Sterling)
Name ________________________________________________________________________________
Address (mailing) _______________________________________________________________________
City ______________ State ______________ Zip _____________________________________________
Daytime Phone _________________________________________________________________________
Evening Phone __________________________________________________________________________
E-mail ________________________________________________________________________________
Grade 9-12__ Name of High School _______________________________________________________
College Student__ Name of College _______________________________________________________
General public
Classification (Please check appropriate box)
(Choose one that most closely matches your writing)
Science fiction Romance Short
Story
Children’s General Other
Title: _________________________________________________________________
(Choose one that most closely matches your writing)
Essay Newspaper Magazine
Commentary Memoir Other
Title: _________________________________________________________________
(Choose one that most closely matches your writing)
Children’s General Other
Title: _________________________________________________________________
Each entry must have a submission form attached. DO NOT put your name on the
submission itself.
You may copy this form as many times as you need.
Bring your submissions to the Kenai Community Library or mail your entries to the address below:
Central
Peninsula Writer’s Group, 214 Birch St., Kenai, Alaska 99611
Mailed entries must be posted to ARRIVE by February 13, 2010. If you are in doubt, hand carry your submission to the Kenai Library. Thank You.