Bright Light Multimedia - Writing Competition Entry Form

The Bright Light Multimedia "True Love" Writing Contest

Electronic Entry Form

Please read these brief instructions before you proceed.

First, go to our secure online payment system and pay your AU$5.00 entry fee. (except for the one FREE entry from "Brilliant!" newsletter subscribers)
Select and copy the Reference number you are issued on the transaction receipt page, and return to this entry form. You will instantly be sent a confirmation email that contains the payment information for your records. ("Brilliant!" subscribers using their FREE entry, please omit this step).
Paste the Reference number into the "Payment Receipt Number" box below, complete the rest of the form, & click the "Submit" button. The Reference number you enter will be cross matched with payment records to confirm your entry. ("Brilliant!" subscribers please enter the word "Brilliant!" into the "Transaction Receipt Number" box. Your entry details will be cross matched with our newsletter subscriber database for verification.)

(* = required field)

*Payment Receipt Number:
*First Name:				*Last Name:
Nom de Plume:				*E-Mail:
*Address 1:				Address 2:
*Suburb:				*State:
*Post Code:				*Country:
Age Group:				Gender:
*How did your hear about this competition?:

Each entry may contain 1 to 2 Items

Item#1-Title:
Item#1-Category:	Length:	Lines/Words
Paste Item#1 here:

Item#2-Title:
Item#2-Category:	Length:	Lines/Words
Paste Item#2 here:

*A Short Biography/By-line:

*An edited version of this information may accompany your entry
if it is published or performed as either one of the Winning entries, or one of the Highly Commended entries.

I agree to Bright Light Multimedia publishing and/or performing my contest submission on the Bright Light Multimedia and The Bright Light Café websites and in the Bright Light newsletter, "Brilliant!".
I declare that the item/s entered in this competition is/are entirely my own original and unpublished work. There is no legal reason why I cannot submit my creation/s to Bright Light Multimedia.
I have read and accepted the Agreement and Guidelines for this competition.

Yes, I would like my free subscription to "Brilliant!", the official e-newsletter of Bright Light Multimedia and the Bright Light Café.