Willamette Writers
2011 Kay Snow Writing Awards
REGISTRATION FORM

Name______________________________________________________________

Address ________________________________________________________________

City___________________________________

State ________________Zip_____________-________

Phone (_____)______________

Email addresss_____________________

Number of submissions entered____________

Date of birth _____________ (if student entry)

Grade Division ___________ (if student entry)

Dollar amount enclosed $___________ Check_______ Money Order________

VISA/MC Number___________________________________Exp. Date___________

($15 for non-members; $10 for members; Students are free)


Entry Date: November 20th, 2009 to Postmark Deadline April 23rd, 2011

Return to:

Willamette Writers
Kay Snow Writing Awards
9045 SW Barbur Blvd Ste 5A Portland, OR 97219-4027

Questions? Willamette Writers Office (503) 452-1592, fax (503) 452-0372, e-mail wilwrite@willamettewriters.com

Finalists will be notified by mail/e-mail prior to the Willamette Writers Annual Conference August 5-7th, 2011. Awards will be presented at the banquet August 6th, 2011. Authors retain ownership of their work.

Signature_________________________________________

Printed Name______________________________________

Awards: Adult categories: 1st place $300, 2nd place $150, 3rd Place $50

Student categories: 1st place $50, 2nd Place $20, 3rd Place $10