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CONTACT DETAILS
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Surname: |
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Forename(s): |
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Name of Company (if applicable): |
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Email: |
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Telephone Number: |
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Address:
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DETAILS OF THE WAYWISER PUBLICATION TO BE USED
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Title of Book: |
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Title of poem(s) or chapter(s) or illustration(s). In the case of a poem, please specify the number of lines; in the case of a prose work, the number of words; and in the case of an illustration, its place in the book.
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EXPLANATION OF HOW YOU WISH TO USE THIS MATERIAL (Publishers should give the title of their publication, its format, print run, price and the territories it is to be distributed in)
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Date: |
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Signature:
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Please post to The Waywiser Press, Bench House,