INSTRUCTIONS

1.  Complete the form below.
2.  Click on the submit button.
3. Print the form and return it to:

Meridian Anthology of Contemporary Poetry

C/O: Marylin Krepf

5068 Annunciation Circle, #208

Immokalee, FL. 34142

Name
Address
Suite / Apt #
City
State
Zip
Author of poem

All fields are mandatory.

I give permission for one time rights to publish my poem in Meridian
Anthology of Contemporary Poetry.  By submitting this form I agree that if my poem is selected, I grant consent to Meridian Anthology to publish it in the anthology.

Please type the word AGREE (UPPER case only) in the box below then press the
Generate Submission Letter button.