Poetry Submission Form

Poetry Submission Form

Name:

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Are you 18 years old or over:

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Your email address:

(if you would like to share it with our readers. You must be over 18 for us to share your e-mail.)

For U.S. Residents

City:

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For Residents of Other Countries

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Please tell us something about yourself and/or your poem:

(If you have any comments you do not want posted, please let us know.)

Poem Title:

Author:

Please check one:

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Poem:

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