................DU International Writing Contest................
ENTRY FORM - JUNIOR LEVEL
DETAILS:
First Name: ________________________________________________________
Last Name: _________________________________________________________
Street Address: _____________________________________________________
City: ______________________________________________________________
State, Zip/Postcode: _________________________________________________
Country: ___________________________________________________________
Telephone: _________________________________________________________
Email: ____________________________________________________________
Date of Birth: day ___ ___/ month ___ ___/ year ___ ___ ___ ___
ENTRY FEE:
Entry Fee: AU$15.00 (add extra AU$15.00 for feedback) or cheaper with the Earlybird Special:
Deadline for Payment: 31 Dec., 2006 Earlybird Special: If paid by 15th May, 2006
qAU$15 for competition qAU$10 for competition
OR OR
qAU$30 for competition & feedback qAU$20 for competition & feedback
How are you sending the entry fee? (please tick one box):
q Australian cheque or money order made out to Daily-Update Pty Ltd and
sent to Daily-Update, PO Box 1031, Macleay Island, Qld 4184, Australia;
q Bank draft made out to Daily-Update Pty Ltd and sent to Daily-Update,
PO Box 1031, Macleay Island, Qld 4184, Australia;
q PayPal to the account: support@daily-update.com (you can set up a free
PayPal account at www.paypal.com then it is free to send money to the DU PayPal
account);
q Credit card (please provide information below):
Credit Card Type: qMastercard qVisa qBankcard
Card Number: _________________________________ Expiry Date: ____/____
Name on Card: _____________________________________________________
Street Address: _____________________________________________________
City: ______________________________________________________________
State, Zip/Postcode: _________________________________________________
Country: ___________________________________________________________
Credit Card ID (last 3 numbers on reverse side of card) _______________________
Amount: AU$_________________ Signature: ___________________________
(if sending this by email, don’t worry about signature)
ENTRY FORM:
How are you sending this entry form? (please tick one box):
q By email to contest@daily-update.com
q By mail to Daily-Update, PO Box 1031, Macleay Island, Qld 4184, Australia
q By fax to Australia +61-7-3409 5888
AGREEMENT
This is an agreement between Daily-Update Pty Ltd (hereafter “Daily-Update”) and the author (hereafter referred to as “I”) named above, regarding the work described above.
I agree that:
1. I am the sole author of the work described above. Nobody helped me write or proof-read this work.
2. This work is entirely original and has not been previously published. I own all legal rights in the work.
3. If this work is awarded first, second or third prize, or is awarded an honourable mention, Daily-Update has the right to publish the work as part of an anthology (whether a junior anthology or combined junior and senior anthology). The award (together with the cash prize) is then the entire consideration for such right.
4. My parent or guardian has read this agreement and agrees to indemnify Daily-Update for any loss or expense arising from inaccuracies in the Agreement or from breach of the Agreement.
Parent or Guardian’s name: ____________________________________________
Agreement Dated: day ___ ___/ month ___ ___/ year ___ ___ ___ ___
Checklist for your Entry
(please tick each box when done)
q Each submission is in one of the specified formats (Microsoft Word; Adobe
InDesign; TXT; HTML; RTF; or a printed paper copy)
q Each submission is in English; within the word limit; and double spaced. The
pages are numbered; I’ve checked each page for errors; and it’s all my own work
q I’ve arranged for payment of the entry fee for each submission by:
(a) Australian cheque or money order made out to Daily-Update Pty Ltd and sent
to Daily-Update, PO Box 1031, Macleay Island, Qld 4184, Australia;
(b) Bank draft made out to Daily-Update Pty Ltd and sent to Daily-Update,
PO Box 1031, Macleay Island, Qld 4184, Australia;
(c) PayPal to the account: support@daily-update.com (you can set up a free
PayPal account at www.paypal.com) then it is free to send money to the DU PayPal
account); or
(d) Credit card
q I’ve filled in this entry form, and I’m now sending (a) the entry form/s; (b) the entry fee/s; and (c) PERHAPS my submission/s (submissions may be sent later)
When submitting later, please include
the following information with your entry:
Submission Title: ____________________________________________________
Subtitle (if any): _____________________________________________________
Your unique code (given to you after registering): ___ ___ ___ ___ ___ ___ ___ ___
Submission Word Count (not including title): _______________________ words
Which File Format did you use for your submission? (please tick one box):
q Microsoft Word
q Adobe InDesign
q Plain Text (TXT) format
q Web Page (HTML) format
q Rich Text Format (RTF) format
q Hard Copy (printed paper)
How are you sending your submission? (please tick one box):
q By email to contest@daily-update.com
q By mail to Daily-Update, PO Box 1031, Macleay Island, Qld 4184, Australia
(Note: You may register now and send your writing submission later).
................DU International Writing Contest................