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Poetry for Charity Submission Form

What is your full name? (This name will be used on all certificates that you recieve)

Which age category do you fall into?

A
B
C

What is your email address? (We will use this to e-mail you with your competition results)

Where did you hear about us? (You may tick more than one.)

What is your home address? (We will use this to send you your trophy if you win)

Please upload your poem here. (Please only submit PDFs)

Please pay the £2 registration fee below. All proceeds will go to our charity partner, Wings of Hope


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