Award Entry Form

Which award are you applying for?*

Select or enter value

TITLE (include subtitle):*

AUTHOR(S)’ NAME(S) (Include their contact info):*

EDITOR’(S) Name'(S) (Include their contact Info)*

PUBLISHER (include contact information):*

YEAR OF PUBLICATION:*

ISBN:*

Describe the book:*

Briefly (no more than 250 words) describe the book and its contributions to the field of popular culture.

If you are a publisher:

Please include someone in the publishing house who will serve as the contact. Please include a phone number and an email address:

If you are an author:

If you are an author, please include your name, telephone number, mailing address, and email address.

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