2019 New England Readers' Choice Contest
ENTRY FORM
Fill out and submit this form to enter your published book or story in the 2019 New England Readers' Choice Contest.
Author (name on book/story being entered) *
Your answer
Author's legal name (if different from name on book)
Your answer
Email *
Your answer
Name and email on Paypal account (if different from author's)
Your answer
Street Address *
Your answer
City Address *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone number *
Your answer
Title of Entry *
Your answer
Contest Category (select one) *
I will be submitting: *
By checking the box below, I affirm that I have read, understand, and agree to the Rules for the 2019 New England Readers' Choice Awards (on the NECRWA web site at http://www.necrwa.org/contest/). *
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