Poetry Contest Entry Form

Poet's Signup Form

To enter the contest please mail your poem along with your name, complete address and phone number to the following address:

Pen Pushers Publications
Contest CSC – 194
46950 Community Plaza, Suite 101-229
Sterling, Virginia 20164-1814

You can also submit your poem by using our online entry form below.

Both published and unpublished poets are welcome.
No purchase is necessary to enter or win the poetry contest.
Poem must be 30 lines or less, including blank lines.
Authors retain all rights to their work.

You may use this form to submit your entry. Please remember to limit your entry to 30 lines or less, including blank lines. Thank you!

If you're having problems submitting using this form, please e-mail your entry to us by clicking here. Don't forget to include your name and full postal address so we can get in touch with you. Thank you.

Poets who have already submitted a poem and have received a username and password may submit poems from here.

First Name
Last Name

Street Address
City
State/Canadian Province
ZIP Code
Country

Poem Title
Category

Please enter your poem here:

Allow Comments?

by (Name or Pen Name)
E-mail Address

How did you find out about us?

I hereby attest that the above poem is my original work, and I am submitting this poem as an honest and true effort of my personal creativity and unique artistic vision. This work is original and has not been copied, pirated, or plagiarized. If this work already copyrighted, I certify that I am the sole copyright owner. Furthermore, I understand that it will be published on the Internet as my original work and under my own copyright.

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