Name *

Your Full Name Please give your real name, not your pseudonym / pen name.

First Name

Last Name

Pen Name

Please give your name as you would like it to appear in the story credit if you're published. (Leave blank if it's the same as above.)

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Release *

Terms and Conditions: I certify that this is my original work and that, at the time of submission, this manuscript has not been accepted for publication elsewhere. I have read and agree to abide by the Anthology Submission Rules. I further understand and agree that any questions regarding interpretation of the rules or matters relating to this anthology’s publication that are not specifically covered by the rules will be decided by the Anthology Editorial Board and Committee, and I will accept as final the decision of these people in such matters. I realize and accept that manuscript selection is subjective by nature; accordingly, I will accept and abide by the decision of the Editorial Board and Committee in selecting stories for inclusion in this anthology, including their right to select no stories and suspend plans for publication. Further, I will hold harmless and reimburse Supplies for Life and its anthology editors and committee on demand for all loss, cost, and expenses incurred in connection with either a. any dispute arising from my participation in this submission process; b. any other matter arising from circumstances beyond the control of Supplies for Life and its delegates. By checking the “Agree” box below I signify my agreement with the statements herein.

Consideration *

CONSIDERATION. Consideration of the Author’s Work for possible publication in the Anthology and, if appropriate, inclusion of the Work in the Anthology constitutes the full and complete compensation due to Author by Supplies for Life, under this Agreement or otherwise. No additional compensation is due Author whether or not Supplies for Life ever Publishes, distributes, markets, or sells any copies of the Anthology. If the Author’s Work appears in the Anthology, Supplies for Life will also provide Author with 1 paperback copy signed by Jen Cutting, 3 complimentary digital copies of the first edition of the Anthology after publication. Author acknowledges that no royalties are due, payable, or owed to Author on sales of the Anthology, regardless of the number of copies of the Anthology produced, printed, and/or sold. All receipts from Anthology sales will be received by Jen Cutting, and all profits will be donated directly to Supplies For Life.

I agree to Terms of Consideration

Signature *

First Name

Last Name