Mailed Application

Entry form for the Childrens Bookworm Award

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Download the form, or submit the following information:

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Today’s Date:

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NAME:

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MAILING ADDRESS:   

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PHONE NUMBER:

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EMAIL:                                      Twitter Handle: 

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Full book title: 

Author’s name: 

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Company’s, Publisher’s or Imprint’s Name: 

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Author’s website/landing page: 

 

ISBN: 

 

Publication Date: 

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Enter in Categories (As listed on https://www.childrensbookwormaward.com/categories):

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Payment:  $59 for the first category/book, $50 for each additional category or additional book

___ Enclosed a copy of the payment confirmation from paypal 

OR check payable to “Independent Press Award”   

 

Please mail completed submission package to:

Childrens Book Award®

63 Clinton Road

Glen Ridge, NJ  07028

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SUBMISSION CHECKLIST:

Your submission package should contain the following:

1. ONE copy of your title(s) per category entered (no more than four copies even if entered in more than four categories)

2. A copy of the Entry Form put into each book in each category entered.

3. Paypal confirmation email of fees, OR check payable to Independent Press Award