Entry Form

Please complete this form and return it with your piece(s)

Name  

Address  

Postcode  

Telephone (daytime)  

Email  

I wish to enter the following piece(s) for Shot from the Lip Writing Competition 2006.

Number of pieces entered _______________________________

Piece(s) Title(s) (continue on a separate sheet if necessary)

 

 

 

Send your piece and form to arrive by 13th December 2006 to:
Shira Hess, Audiences London, Unit 7G1 The Leathermarket, Weston Street, SE1 3ER or shira@audienceslondon.org