Name ____________________________________________________
Address __________________________________________________
City ____________________State_____ Zip code ______________
Phone number _________________E-mail:_____________________
Parent/Guardian Name(s) __________________________________
Parent/Guardian E-mail ____________________________________
School ____________________________________________________
English/Language Arts Teacher’s Name_______________________
English/Language Arts Teacher’s Phone_______________________
English/Language Arts Teacher’s E-mail_______________________
Grade ________
Poem/Essay/Story Title: ____________________________________
All above information MUST be filled out entirely with each entry, otherwise entry is invalid. Please send as an attachment to theproperpublisher@yahoo.com or print, fill out form entirely and mail to:
Proper Publishing
P.O. Box 634
Cantonment, FL 32533
Thank you,
Susan A. Lewis
Proper Publishing
Executive Editor
Executive Editor