Haunted Hearts Contest Entry Form


GOTHIC ROMANCE WRITERS, INC.
2008 HAUNTED HEARTS CONTEST ENTRY FORM (please print)



Name:_________________________________________________________________
If writing as a team, all names and RWA numbers must be on the entry form.

Pseudonym:_____________________________________________________________

Address:________________________________________________________________

City:_______________________________ State:___________ Zip:_____________

Home Phone: (______)________________________________

E-mail:_____________________________________________

RWA Membership #___________________________________

Manuscript Title:______________________________________________________

Manuscript Target Line (optional):_________________________________________________

Word Count:_______________________________

Manuscript Category:  [  ]  Contemporary                 [  ]  Historical

Entry Fee:    [  ]  $15.00 - GOTHROM members   
                    [  ]  $25.00 - non-GOTHROM members 


Method of Payment:  [  ] Check/Money order enclosed   [  ] Payment made via Paypal

CONTEST WAIVER (must be signed for entry acceptance)

I have read and understand the above rules and request that the enclosed original work, which I
declare to be my work, be entered in GOTHROM’s “Haunted Hearts” contest.  I realize and accept
that manuscript judging is subjective and agree to abide by the decisions of the judges and/or
contest officials and shall indemnify and hold harmless GOTHROM, its officers, members and
contest personnel for actions relating to the judging and handling of my entry.


_________________________________                    ________________________________
Signature                                                                        Date


Entry Checklist:

____  Four copies of prologue/first chapter not to exceed twenty-five pages

____  Four copies of synopsis not to exceed one single-spaced page

____  Completed Contest Entry Form and signed waiver

____  Check/money order made payable to Gothic Romance Writers or payment via PayPal.

____  Self-addressed/Postage-paid envelope for return of paper contest entry


Electronic Submissions should be e-mailed LHORTON@FKKS.COM

Send Paper Contest Entries to:

Lise Horton
321 Lansdowne Ave.,
Carle Place, NY 11514

THIS FORM MAY BE COPIED