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Submission Form 2009

Submission Form: Azahares 2009

Artist/Author Information:

Name:

Mailing Address:

City, State, Zip:

Phone Number:

Email Address:

Are you a current UA Fort Smith student?

Submission Information:

Fill in the title(s) and genre(s) — prose, poetry, art – in the space below. If submitting artwork, please indicate medium.

* Title of Submission / Genre / Medium

Item #1

Item #2

Item #3

*A maximum of three submissions per each author/artist, regardless of genre.

Statement of original work:

I hereby declare that all submitted items are my own and previously unpublished. I grant permission to the Azahares Editors to use my works for publication and promotion of this literary journal.

_____________________________________

(Please highlight and copy this form onto a word doc. Sign and date it, then include it with your submission material.)

After filling out the form above, please submit it along with your submissions for Azahares 2009, and your 60-word (max) biography. Deadline for Submissions is December 5, 2008.

All submission material should be emailed to azahares@uafortsmith.edu or mailed directly to: Mary Cantú, Azahares Managing Editor, Department of World Languages, Annex 51-Room 203, University of Arkansas – Fort Smith, P.O. Box 3649, Fort Smith AR 72913-3649