Fiction Writers Association
Submission Form for Writing and Artwork:
Name
Inducted (semester & year)
Check one: ___ Freshman ___Sophomore ___ Junior ___ Senior ___ Alumni ___ Graduate student
Current Address and Contact Information
Valid from to
Address
City
State ZIP code
Phone
Email
Submitted Work(s)
List the title(s) of all work(s) submitted with this form.
1. [Title]
2. [Title]
3. [Title]
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