Upload your competition entry

There two questions on this page that are to slow down people who want to send spam. It is important to read and answer them properly.

What best describes you?

a person
a person
a bird
a bird
a bot
a bot
a car
a car
a bear
a bear
Family name
Given name
Physical address
email address
Phone number (include 10 digits)
HAGSOC Membership Number (if applicable)
Title of your work
If your work is to be printed under a pseudonym please provide the name
Number of words
My work is original and any quotes from other writers are clearly acknowledged.
I accept the terms and conditions of the 2019 HAGSOC Writers Competition.
I agree to pay the entry fees.

Note: Entries not meeting the terms and conditions will not be considered.

Entry fee amounts are for $20 HAGSOC member and $30 non members.

Upload this file:

Make payments using the pay buttons on the competition home page Send credit card details by post.
Please fill-out and print this form.
Preferred
EFT to:
BSB: 633-000
Account Number: 165578816
Account Name: HAGSOC
Use the reference code of:
"WritingSurname1234"
PayPal Credit card
Please charge the entry fee to my MasterCard/Visa
Credit Card Number:
____ ____ ____ ____
Expiry Date: __/__
Name on the Card:
_______________________
 
Signature: __________________
Date: __/__/____
Enter the fifth word of the following phrase:
William fished Goodradigbee Station frequently