ENTRY FORM

To download the complete brochure including entry form, click here.

To submit more than one entry online, simply complete the form below, attach your first speech, and click submit. Once you have sent your first speech, click the "Entry Form" link again to submit another speech. You will not have to reenter your contact information. Your credit card will be charged just once for the total amount of entries submitted.

$250 is charged for each speech that is submitted. A speech may be submitted for multiple categories, however there is an additional charge for each category entered. Entry must be submitted by October 19, 2007. There is a $10 late entry fee for entries submitted after October 19, 2007.

Contact Information

	*Contact Name:
	Job Title:
	*Company:
	*Address 1:
	Address 2:
	*City:
	*State / Province:
	*Zip / Postal Code:
	*Country:
	*E-Mail:
	*Phone:
	Fax:

Speechwriter Information
(if different than contact information listed above)

	Speechwriter Name:
	E-Mail:

Entry Information

	*Speech Title:
	*Speaker:
	*Date of Speech:
	*Location of Speech:
	*Categories:
	Attach Speech:	The speech file must be a .pdf of 1 meg or less. The file name must be unique, and should only consist of letters (either case), numbers, dash/hyphen, underscore, or dot.

Payment Information

	Charge:	$250
	Credit Card Information:	Visa American Express MasterCard
	Name:	(as it appears on cc)
	Credit Card # :	(no spaces or dashes)
	Expiration Date:	(mm/yyyy)

If you're not comfortable ordering online, please print out this page, complete the form and mail it with payment (credit card or check) to:

Cicero Speechwriting Awards
McMurry Campus Center
1010 E. Missouri Ave.
Phoenix, AZ 85014 USA

Make checks payable to Vital Speeches of the Day. Payment must be in U.S. dollars drawn on a U.S. bank. U.S. Tax ID No. 86-0540887. Canada GST-exempt.