Titiraliritti!

Nunavut Literary Prize
Submission Form

Mr.              Mrs.              Ms             Youth Catagory       

First Name:___________________________Last Name:________________________

Address: _____________________________________________________________

Community: _____________________________ Postal Code: ___________________

Work #: ___________________________ Home #: ___________________________

Fax #:____________________________Email: _______________________________

Story Title:____________________________________________________________

Number of pages:______ Name of Person assisting:_____________________________

Comment on how she / he assisted:_________________________________________

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