2009 Deadly Ink Short Story Entry Form     

 

Name: __________________________

 

Address: _________________________

 

              __________________________

 

              __________________________

 

Phone number: ____________________

 

Email address: _____________________

 

 

I certify that the story I am submitting to the 2009 Deadly Ink Shorty Story Contest is my own original, unpublished work.  I give Deadly Ink permission to publish my story in the 2009 Deadly Ink Anthology,  if selected, as well as the Deadly Ink Conference Book.

 

 

___________________________                  _________________

Signature                                                             Date

 

 

Mail with $10.00 entry fee to:

(waived if attending conference)

 

Deadly Ink Short Story Contest

PO Box 6235

Parsippany, NJ 07054