2017 Lone Star Writing Contest Entry Form 2017 Lone Star Contest Entry Form 2017 Lone Star Contest Entry Form First Name * You may use a pen name if you like. Just give us the name you want associated with your writing! Last Name * Same thing here. Real or pen name will work for us. Mailing Address * City State/Province Zip/Postal Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Email Address * Please double check that you've entered your email address correctly, okay? We want to notify you if you win, you know. :) Phone Number * Additional Contact Information If we can't reach you by email, what's the next best way to contact you? A second email address, phone number, address, etc. Writing Partnership Please list writing team's names, phone numbers, and contact information in this box, if applicable. Title of Your Entry * Please use the exact title used in manuscript header. Dropdown * Contemporary Single Title Romantic Suspense Historical / Regency Fantasy, Futuristic, Paranormal Inspirational Young Adult This is my original work and it has not been contracted or published in any form prior to the winners announcement of the contest. * Yes Contest Waiver * I have read and understand the rules of the Northwest Houston RWA Lone Star Writing Competition. I realize that contest judging is, by nature, subjective, and that I may receive feedback from contest judges with which I do not agree. Accordingly, I will accept and abide by the decisions of any judge and/or contest officials regarding finalists or winners for the contest. In consideration of the chapter's acceptance of my entry. I agree to indemnify, defend and hold harmless its officers, members, and all judges of the contest from liability for its/their actions arising from, or relating to, judging and handling of my entry, and conducting, sponsoring and advertising the contest. Typing the name(s) and date(s) above signifies acceptance of these terms. PayPal Receipt Number * Please upload your manuscript. Only Rich Text Files (.rtf) will be accepted. * Uploading Files. Please Wait.