Please read carefully the 'submission guidelines' and 'terms and conditions' accompanying this form before printing or copy/pasting* the text, including the final declaration, and submitting material by post or email.
'ME/CFS contributions'
email: book@mecfs.fsworld.co.uk
First name:
Surname:
Date of birth:
Occupation -
Current occupation -
Date of onset of illness -
Full Address -
Daytime telephone:
Evening telephone -
Email address -
Title(s) of work -
If submitting visual material,
Has the work been
Where did you find out
I have read and agreed to the 'terms and conditions' accompanying this form, and confirm that the details on the form are correct and that work submitted is entirely my own. * (for copy/pasting 'tips', see 'terms and conditions').
Checklist By Post: By Email:
www.oocities.org/mecfsbook
Submission Form
18 Bishops Way
Buckden
Huntingdon
Cambs
PE19 5TZ
United Kingdom
[Prior to becoming ill]:
[Please specify full or part-time,
or if you are unable to work]:
[To the nearest year]:
[Including postal
code and country]:
[Please list landline instead
of mobile if possible]:
[If applicable]:
[Including photos and artwork,
but leave
blank if untitled -
please indicate which title
applies to which piece,
or label work accordingly]:
is the piece a copy of a photo,
a copy of artwork, or is it an
original -
[For multiple submissions,
include a brief description
with each title listed]:
previously published -
[If so, where]:
about this book -
[Name of publication
if applicable]:
Remember to include:
* Your contribution(s).
* A copy of the submission form.
* A stamped, self-addressed envelope [+ international reply coupons if applicable].
Remember to include:
* Written contribution(s) copy/pasted into the body of the email [not attached as a separate file].
* Previews of artwork or photo contributions [acceptable as attachments, as long as the total email size does not exceed 300KB].
* The text of the submission form copy/pasted into the body of the email, along with answers.