2009 FICTION FROM THE HEARTLAND

Entry form

(Click here for printer-friendly version)

All entries must be postmarked no later than September 23, 2009

Send to:

Keri Smith

MARA 2009 Contest Coordinator

15612 W 125th Terrace

Olathe, KS 66062

Title of entry:______________________________________________________________

Category for entry: _________________________________________________________

Projected word count: ______________________________________________________

RWA member number (if applicable) :______________________             

Name: _____________________________________________________________________

Address:____________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

(_____)__________________________(_____)_____________________________
               daytime phone                                     nighttime phone

e-mail: ____________________________________________________________________

Name of your RWA Chapter (if applicable):

___________________________________________________________________________

 WAIVER: I hereby request that the enclosed manuscript, that I certify to be my original work, be entered in MARA's contest. I understand that the contest's judging is subjective by nature. In consideration of MARA's acceptance of my entry, I agree to indemnify, defend, and hold harmless MARA, its officers, members, and all judges of MARA's contest from liability for its/their actions arising from, or relating to, judging, and from liability for its/their handing of my entry and conducting, sponsoring, and advertising of this contest, that expressly results from my entry.

Signature_______________________________________Date________________                

How did you hear about our contest?   (     ) RWR   (     ) our web site (   ) e-mail loop
(     ) other - please explain