David Nathan Meyerson Prize for Fiction contest

Entry Fee Information
Number of Stories
(Cost is $25 per story)

Cost (non-refundable)

$

Submitter Information
*Address 
Address2 
*City, *State, *ZIP, *Country        
*E-mail  
*Telephone
Submitter Name (if different from billing name):
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 (* for USA, use 2-letter state abbreviation)  

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