Arts & Literature Laboratory, Inc. · 2023 Lorine Niedecker Poetry Award

Writer's Name

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First Name

Last Name

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Telephone Number

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Email

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Verify Email

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Poem #1

Title of Poem

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Journal/Publication

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Publication Date:

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Publisher Mailing/Web Address

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Poem #2

Title of Poem

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Journal/Publication (optional)

Publication Date

Publisher Mailing/Web Address

Poem #3

Title of Poem

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Journal/Publication (optional)

Publication Date

Publisher Mailing/Web Address

Poem #4

Title of Poem

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Journal/Publication (optional)

Publication Date

Publisher Mailing/Web Address

Poem #5

Title of Poem

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Journal/Publication (optional)

Publication Date

Publisher Mailing/Web Address

File Upload

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Please upload a single .doc, .pdf or .txt file of all poems being submitted. All manuscripts should use a standard (Times New Roman or similar) 12 point font; no more than one poem per page, please.

Entry Fee

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$25

$15 - for members of Arts + Literature Laboratory

Entry Fee Paid for Paper Submission

Statements

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I am a current Wisconsin resident

I have lived in Wisconsin for a significant period (five years or more)

I certify that the enclosed work, which I am submitting for the Lorine Niedecker Poetry Award contest, is my own original work.

Signature (typed)

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First Name

Last Name