Goodnight Stories

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2727 Duke St. #1303
Alexandria, VA 22314  USA

Please Print this page, answer the questions, and mail it with your story.


Your Name:_____________________________________________   (required)

Publish your name? ( circle one) :    Yes        No  (required)

Your E-mail address:______________________________________ (required)

Publish your e-mail address? ( circle one) :    Yes        No    (required)

Your age:__________   (optional)

Legal issues:  (circle one below)   (required)

1 - I am 13 or older

2 - I have my parent's permission

Your country:____________________________   (optional)

If you wish to have your country's flag displayed next to your story write it on the line above

Rules: By mailing this form you agree to the rules posted on our web site at

If you are under 13, your parents MUST see the rules and agree to them.  By mailing this form you confirm that your parents read and agreed to the rules.



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