[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.73″ background_layout=”light” text_orientation=”left” border_style=”solid”]

Are you eligible for new word count prizes? Let us know!

[/et_pb_text][et_pb_contact_form admin_label=”Word count form” _builder_version=”3.0.73″ success_message=”We’ll send you your newest badge soon! CONGRATS!” submit_button_text=”Send me my prizes!” email=”themightypens2017@gmail.com” custom_message=”Someone has hit a new word count tier!||et_pb_line_break_holder||||et_pb_line_break_holder||Name = %%Name%%||et_pb_line_break_holder||Email = %%Email%%||et_pb_line_break_holder||Word count tier = %%Tier%%||et_pb_line_break_holder||Word count = %%Word_count%%||et_pb_line_break_holder||NaNo Profile = %%NaNo%%” captcha=”on” use_redirect=”off” input_border_radius=”0″ border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_icon_placement=”right” button_letter_spacing_hover=”0″] [et_pb_contact_field field_title=”Name” field_type=”input” field_id=”Name” required_mark=”on” fullwidth_field=”off” /][et_pb_contact_field field_title=”Email Address” field_type=”email” field_id=”Email” required_mark=”on” fullwidth_field=”off” /][et_pb_contact_field field_id=”Tier” field_title=”Which word count tier have you hit?” field_type=”select” checkbox_checked=”off” checkbox_options=”%91{%22value%22:%22%22,%22checked%22:0}%93″ radio_options=”%91{%22value%22:%22%22,%22checked%22:0}%93″ select_options=”%91{%22value%22:%227,500, Bronze Pen!%22,%22checked%22:0},{%22value%22:%2215,000, Silver Pen!%22,%22checked%22:0},{%22value%22:%2225,000, Gold Pen!%22,%22checked%22:0},{%22value%22:%2250,000, Mighty Pen!%22,%22checked%22:0}%93″ min_length=”0″ max_length=”0″ allowed_symbols=”all” required_mark=”on” conditional_logic=”off” conditional_logic_relation=”off” conditional_logic_rules=”%91{%22field%22:%22name%22,%22condition%22:%22is%22,%22value%22:%22%22}%93″ fullwidth_field=”on” form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid” /][et_pb_contact_field field_title=”What is your specific word count?” field_type=”input” field_id=”Word_count” required_mark=”on” fullwidth_field=”on” checkbox_checked=”off” checkbox_options=”%91{%22value%22:%22Message%22,%22checked%22:0}%93″ radio_options=”%91{%22value%22:%22Message%22,%22checked%22:0}%93″ select_options=”%91{%22value%22:%22Message%22,%22checked%22:0}%93″ min_length=”0″ max_length=”0″ allowed_symbols=”all” conditional_logic=”off” conditional_logic_relation=”off” conditional_logic_rules=”%91{%22field%22:%22name%22,%22condition%22:%22is%22,%22value%22:%22%22}%93″ form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid” /][et_pb_contact_field field_id=”NaNo” field_title=”Link to your NaNoWriMo profile (optional)” field_type=”input” checkbox_checked=”off” checkbox_options=”%91{%22value%22:%22%22,%22checked%22:0}%93″ radio_options=”%91{%22value%22:%22%22,%22checked%22:0}%93″ select_options=”%91{%22value%22:%22%22,%22checked%22:0}%93″ min_length=”0″ max_length=”0″ allowed_symbols=”all” required_mark=”off” conditional_logic=”off” conditional_logic_relation=”off” conditional_logic_rules=”%91{%22field%22:%22name%22,%22condition%22:%22is%22,%22value%22:%22%22}%93″ fullwidth_field=”on” form_field_font_select=”default” form_field_font=”||||” use_border_color=”off” border_style=”solid” /] [/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section]