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Please print this form and include it with your submission. Name:_____________________________________________________ Address:____________________________________________________ City:__________________________ State:____________ Zip:_________ Phone:(_____)_____-_________ Fax:(_____)_____-_________ Email:_____________________________________ Title of Work:________________________________________________ Genre/Category:_______________________________Number of Pages:___ Target Market:_______________________________________________ Are you a member of SWW?_______ You do not need to be a member to use the Critique Service. Terms and Conditions SouthWest Writers agrees to provide a critique of the work referenced above by a qualified editor. The editor is not an employee or agent of SWW. It is understood that the opinions expressed and suggestions made in the critique are those of the consultant, and not those of SWW, its employees, officers, members and/or agents. Although SWW accepts responsibility for providing the service, it can accept no liability for consequences arising from any opinion expressed or any suggestions made in the critique, and does not warrant that the editor's comments or suggestions will result on the sale or publication of the work, or the winning of any contest(s). I hereby submit my manuscript and fee for a critique under the terms and conditions as set forth in the Terms and Conditions section of this document. Author's Signature:______________________________________ Date:__________ CQS #:_______ Return Checklist to SWW:____ Invoice Date Processed Out:________ Editor must complete and mail to client by:________ Return checklist to client: ____ Manuscript ____ Typed Critique ____ Evaluation
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