APPLICATION FORM
To the Editor,
www.worldwar2burmadiaries.com
e-mail:josephvalu@worldwar2burmadiaries.com
Date: Month ......Day..... Year 200 …..
I/We request your consideration of the attached story/article for
publication.
NAME of STORY/ARTICLE:
........................................................................................
NAME of AUTHOR(S):
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NAME of PRIMARY AUTHOR:
LAST…………………………….FIRST…………………MIDINITIAL………
e-mail address:………………………............. Underline MAY /
MAY NOT be shared.
Postal Address:
Street: ………………………..................................
City…………………Zip/Postal Code………….... Country……………………
I/We have read and understood the Instructions for Authors, and do vouch
for the fact that this submission of mine/ours is a work of my/our creation,
that the claimed facts/opinions are my/our own (and not yours or that of
your publication) and are authentic according to my/our best knowledge
and belief, and has not been published before.
I/We agree that, if accepted for publication, we give permission to
WorldWar2BurmaDiaries.com or its assignees, on its web site, as well as
any other anthology(i.e a collection of stories), such as books, e-books, etc.,
and for which copyright protection will be applied for by this web site
or its assignees). for such antholgy( only), and that my/our name(s) will be credited
as the claimed authors.
Further, we understand and do state that whether or not this
work has been previously copyrighted by me/us, that I/we are its sole
creators and owners and retain the right to publish it individually elsewhere.
Finally, if accepted for publication, WorldWar2BurmaDiaries.com did not
offer any monetary or other consideration to me/us for the same.
Very truly yours,
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