contests :: golden quill entry form

The 2012 Golden Quill is now accepting entries!

 

To enter your book(s) in the 2012 Golden Quill, fill out the electronic form below. Please be sure to print out a completed copy of this electronic form and mail with your books, including payment if not paying via PayPal. If your entry is e-book PDF format, note "E-BOOK" with your Publisher and Line information below. If you prefer to send your entry via snail mail, please use our Golden Quill PDF entry form. Thanks for your entry!

 


personal information

 

Email Address:

For Desert Rose Members

RWA® Membership#:
First Name:
Last Name:
Pseudonym/Name on Book:
Book Title:
Anthology Title (Novella):
Intended Category:
Publisher, Line:
Editor:
US Copyright Date:
Author Address:
City/State/Zip:
Country:
Day Phone:
Evening Phone:
Alternative Email:

 

Contest Waiver

 

I hereby request that the enclosed book(s), which I certify is my original work, be entered in the 2012 Golden Quill Contest. I understand that the contest is subjective by nature. In consideration of RWA's Desert Rose Chapter's acceptance of my entry, I agree to indemnify, and hold harmless the chapter, its officers, members, and all judges of The Golden Quill Contest from Liability for its/their actions arising from, or relating to, judging and from liability for its/their handling my entry and conducting, sponsoring and advertising this contest, which expressly results from my entry.

I also declare this to be my own work.
Full Name:
Date:

Please include notes to contest chairs:

 

 

Special Instructions

 

Please print out a copy of the completed electronic form and send it in with your entry package. Please include payment, if not paying via Paypal. Send entry, marked with category on outside of package, to:

 

Golden Quill
Helen King
P.O. Box 12864
Scottsdale, AZ 85267-2864

 

PLEASE DO NOT REQUEST A SIGNATURE FOR DELIVERY EXCEPT FOR INTERNATIONAL DELIVERY.

 

 

Contest Fee & payment instruction

Instructions for payment will follow after you press the 'SUBMIT' button.

Check one: I will pay my $30 per entry fee via PayPal.
I will pay my $30 per entry fee by check. Please indicate check information below:
Check Number:
Date Mailed:

Enter the text on the right:

 

Please remember to print your completed form to mail with your entry before you push "SUBMIT." Once form is submitted, it cannot be printed.