Name: ___________________________________________________ (Age if under 16) __________Address: __________________________________________________
City: _______________________________ State: ______________ Zip: ______________
Phone ( ____) ________________________ Internet Address: _________________________
You may submit as many entries as you like using a single Official Entry Form.
$15 for first manuscript____ additional manuscripts $10 each
Total entry fee (US funds): $__________
Method of Payment: (US funds drawn on a US bank; payable to Crossquarter Publishing Group)___ Payment through PayPal to sales@crossquarter.com
___ Check or money order
___ Charge my ___Mastercard ___VISA ___American Express
Card #: ___________________________________________ Exp. Date ____________
Name as printed on card: ______________________________
Signature: __________________________________________
Copy/paste your completed form (above) into an email and then attach your manuscript's electronic file. Email to contest@crossquarter.com
Or mail completed entry form, manuscript(s) (include electronic files), and fee to:
CrossTIME Contest
Crossquarter Publishing Group
PO Box 23749
Santa Fe, NM 87502