Enter to Win the Gerald Stern Poetry Prize

To submit your work to be considered for the Gerald Stern Poetry Prize, simply fill out this easy-to-use form. We highly suggest that you check out the Submission Guidelines before submitting your work. Especially note that this is a blind submission, which means that you MUST remove your name and any contact info from your actual pieces.

Also note that the submission fee for this prize is $5. After filling out this form you will be redirected automatically to Google Checkout to securely submit your payment electronically. If we do not receive the payment, your submission will not be considered. If you are a subscriber, and you have not yet used your free submission, you will not be directed to Google Checkout. Have a question? Don't hesitate to e-mail Jeremy at jeremy@dirtynapkin.com.

All required fields are marked with an asterisk (*).

Contact Information

Name: *

E-Mail Address: *

US Phone Number: ( ) -

Street Address:

Street Address 2:

City:

State:

Country:

Zip Code: - (+4 optional)

Your Submission

IMPORTANT: You must submit your writing in Microsoft Word format. If this is not possible for you, please contact Jeremy at jeremy@dirtynapkin.com.

Title 1: *

File 1: *

Title 2: *

File 2: *

Title 3: *

File 3: *

Title 4: *

File 4: *

Title 5:

File 5:

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(The submission fee is $5. You will be automatically re-directed to Google Checkout)