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Midland College

Hilda Simmons Levitt Poetry Contest
2017 Entry Form
Deadline: Friday, March 31, 2017


Contact Information * indicates a required field.
First Name*, Last Name:*
Student ID:* (no dashes)
Instructor Name:*
Phone Number: - -
Street Address:
City:
State:
E-mail Address:*
How did you hear about the Contest?
   
Files to Upload Files must have an extension of doc, docx, odt, txt, or rtf.
   
Select A File To Upload:
Select A File To Upload:
Date: Sunday, July 23rd, 2017 02:48 AM



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