2025 Regal Summit Book Award Winner's form
www.regalsummitbookaward.com

E-mail:  regalsummit@hotmail.com

*Please complete the form for optional winners' services by the deadline:  JULY 18, 2025
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Name (First and Last) in English. Do not use all capital letters. *
Author Pen Name (First and Last) in English. Do not use all capital letters.
*
E-mail: *
What was the title of the Winning Book:
*
By checking the box below I confirm that *I am a winner in the 2025 Regal Summit Book Award *
Please check the optional services below that you would like as a winner.  Next, click the Paypal payment link for each service selected using debit, credit or Paypal for optional service(s).  Be sure to write the transaction number(s) down in Winner's Form: *
Required
Please provide the Paypal transaction number(s) below for services: *
Check if you approve Regal Summit Book Award to post your name & book title as a winner on website/social media.
*
I warrant and represent that I am a winner in the 2025 Regal Summit Book Award.  I have read all the Rules and have the right to submit this Application Form, no consent or approval of a third party is required, and I am not subject to any contract, commitment, agreement, arrangement or restriction of any kind which would prevent me from doing so. The checking of the box below shall be binding to the same extent as an original signature.
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