HIA Haiku Contest Application form

Name *

Haigo(Pseudonym) if any

Gender
MaleFemaleUnanswered

CountryName *

Postal address *

FAX number

E-mail *

このフィールドは空のままにしてください。

* Limited number of submission is four Haiku.
* Please indicate line breaks in the haiku with a forward slash as in the example below.
Example : The days and months travellers / through a hundred generations / kitten tags along

Haiku *

Haiku

Haiku

Haiku

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