ENTRY FORM

FRANK COLLYMORE LITERARY AWARD

Please print and send this form with two (2) copies of your work by August 31 to:
The Chairman,
Frank Collymore Literary Endowment, 
Central Bank Of Barbados, 
Tom Adams Financial Centre, 
Church Village, PO. Box 1016, 
Bridgetown Barbados, West Indies.

Categories: Poetry, Drama, Prose Fiction, Non-Fiction

(Please Print)

TITLE OF ENTRY : ...............................................................................................................

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AUTHOR : .............................................................................................................................

ADDRESS .............................................................................................................................

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I declare that this work has not previously been published.

FULL NAME: ......................................................................................................................

SIGNED : .............................................................................................................................