Foster City International Writer's Contest
Official Entry Form
Please type or Print Clearly
A separate entry form is required for each piece submitted

Contact Information
Name______________________________________________

Address______________________________________________________________________

City______________________  State_____________   Zip __________________

Phone (H) _____________________   (W)_____________________________

E-Mail:____________________________________________-

Title of Work__________________________________________________________

Category (Select one)

Fiction________   Poetry________     Personal Essay____________

Certification: 
I agree to abide by the rules of the Foster City International Writer's Contest.  I certify that the piece submitted is an original and has not been previously published elsewhere.

Signature___________________________________         Date____________________

FOR OFFICIAL USE ONLY

Resident______  Non-Resident____  Entry Number______    Category Code:

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