Your name and surname
Language of the poem
Your poem. (Please send your poem in original language)
Your poem in english.Translation into English or Spanish, French, German, at your choice
I declare that the work is my original, has never been prized and is unpublished.
I give my permission to its possible publication and presentation to the general audience
I declare that I have not subscribed to SIAE nor to any other similar Societies, which protect copyrights.