Your Name: Address: City:     State:     Zip: Telephone: Fax: E-Mail: Entry Title:

CATEGORY (check one): Short Story      Poetry      Personal Essay/Memoir Short Story for Children Ages 6-12 ENTRY FEE: $10.00 PER ENTRY submitted. Multiple entries may be submitted in one envelope.

APPRAISAL (CRITIQUE) (Check one): Yes*     No *if yes, enclose $25 for each appraisal requested, PLUS 4 copies of the entry, 2 copies of the entry form, and a business-size (number 10) stamped, self-addressed envelope.

Total amount enclosed (Check one): $10     $35    Other (Make checks or money orders payable to "SSA") FEES ARE NON-REFUNDABLE. NO credit cards accepted. NO dues or other fees accepted with entries. Entries will not be returned. NO E-MAIL SUBMISSIONS.

Signature ________________________________ Print and mail this form with THREE copies of your entry (FOUR if requesting appraisal) to: SSA 2008 Writers Contest P.O. Box 35484, Tucson, AZ 85740-5484 (PLEASE NOTE: THIS ADDRESS IS FOR CONTEST ENTRIES ONLY) LATE ENTRIES WILL BE RETURNED UNOPENED! For confirmation of receipt of entry please include Stamped Self-addressed Postcard For further information contact: Contest Chair, Mary Ann Hutchison   douglashutchison@comcast.net NOTE: You do not have to attend the October 19, 2008 Award Forum to receive your award. How did you find out about the contest? Internet (site): Newspaper (name): Member     Friend     Other