Please complete/print out this form for each
title submitted.
Additional biographical and/or bibliographical
information on the nominee may be attached.
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Author: |
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Publisher: |
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Publication Date: |
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Awards won by author: (including for this title)
Author's Address and Phone:
Biography/ Bibliography of Author:
Deadline:
Four copies of each book, accompanied by this entry form and a handling fee of $15 per title,
should be postmarked by: November 1, 2006. Please note, only one entry
form per title is required.
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