PLEASE COMPLETE CLEARLY IN BLOCK CAPITALS.

Story

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Name:          ......................................................................................

Address:       ......................................................................................

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Post

Code:           .......................................................................................

Telephone:   ........................................................................................

Email:          ........................................................................................

Signature:    ........................................................................................

Date:           ........................................................................................

I enclose £             for my entry(ies) and declare that the material is my own work and has not been published before.

Please make all cheques payable to: Meridian Writing.

Should my story win, I hereby authorise Meridian Writing the right to publish said story online and in any future planned anthology.