EmailMe Form - Black Authors Matter Children's Book Awards Entry

Name *
First Last
Email *

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Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone *
### - ### - ####
Today's Date *
MM / DD / YYYY
Paypal Transaction ID for Entry Fee (17-digit number on Paypal receipt; may end with a letter) *
Book Title You Are Entering In the Award Process *
Book Cover Image *
Author Photo (High res preferred) *
Category for book entry (Select all that apply AND for which entry fee has been paid. Entry fee is $59/book per category. Example: If you select two categories, the fee paid should be $59 x 2 or $118.) *
African Diaspora
Best Illustrator
Coloring Books/Workbooks/Activity Books
Comic Books/Graphic Novels
Educational
Motivational
Religious/faith
Social Commentary/Justice
Author Website or Social Media Pg *
Terms and Conditions *
The above information is correct to the best of my knowledge. I understand that entry in the award process does not guarantee a win, that my book(s) will not be returned, and they will be donated to a Houston-area public library.