2008 SMILEY SPRING POETRY CONTEST ENTRY FORM

Print and mail with your entry to:

Bitwise Gifts LLC
401 Main St, suite 203
Salem, NH 03079

I certify that the poem I am submitting to Bitwise Gifts is mine and that
I own first rights to it and am able to submit this to your contest without
permission from anyone else.

By signing below, I understand that I irrevocably grant Bitwise Gifts non-exclusive
rights to reproduce my poem in any print or electronic media form for the
purpose of advertising or promotion of Bitwise Gifts, it's products or services.
I understand that I shall receive no compensation.

The author shall retain ownership and copyright to the work and may publish it
independently.

Any publication of the poem by Bitwise Gifts will include my full name, city,
and state and may include biographical information as supplied by me.

On a separate piece of paper, tell us about yourself, what inspired you to write the
poem?, what is your literary experience?, are you a smiley collector? etc.



YOUR NAME: ___________________________________

ADDRESS: _____________________________________

CITY, ST, ZIP: _________________________________

PHONE: _______________________________________

EMAIL: _______________________________________

DATE: ________________________________________

SIGNATURE: ___________________________________


If you're under 18 years old, please have your parent or
guardian also sign below.


PARENT NAME: _________________________________

SIGNATURE: ___________________________________

CHILD'S AGE: _________________________________


Thank you for submitting your entry!


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