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Hurston/Wright Legacy Award 2010

Entry Form

This entry form may be duplicated. Deadline: Submissions must be received between September 1, 2009 and November 17, 2009.

Submit Four Copies of Each Individual Title with This Application.

A separate application form must be completed for each submission. There is a $25 entry fee for each title submitted. All submission fees must be received with submissions. Make checks or money orders payable to Hurston/Wright. All books submitted for consideration must have a publication date between January and December of the calendar year in which the application is being submitted.

Title of Work: ___________________________________________________________________________________________


Date Published: _________________________________________________________________________________________


Author: ________________________________________________________________________________________________


Publisher: ______________________________________________________________________________________________


Publication Submitted By


Name: ________________________________________________________________________________________________


Title: _________________________________________________________________________________________________


Mailing Address: ________________________________________________________________________________________


______________________________________________________________________________________________________


Phone: (_______)_______________________________________________________________________________________


Fax: (_______)_________________________________________________________________________________________


Email Address: _________________________________________________________________________________________

Is the author aware that this work is nominated? Yes No

Category
(please check one)
Fiction

Nonfiction

Poetry

Publisher and author agree that the decision of The Zora Neale Hurston/ Richard Wright Foundation and/or judges will be final as to all matters, including eligibility, timelines of submission, and compliance with these entry rules and those of the Hurston/Wright Legacy Award.
The Hurston/Wright Foundation shall have the permanent right in any and all media throughout the world and all radio, television, marketing, promotional, and publicity rights that the publisher and author may have in connection with their participation in the Hurston/Wright Legacy Award competition without further consent or payment. Publisher and author also release any claim either might have by virtue of their respective participation in the Hurston/Wright Legacy Award competition, for use of their respective photographs, names, likeness, voice or appearances in connection with the Hurston/Wright Legacy Award program.

Signature: ______________________________________________________________________________________________


Date: __________________________________________________________________________________________________

Nominees will be announced in May. Hurston/Wright staff, board, and advisory board members are ineligible for the Hurston/Wright Legacy Award.

Application Checklist:

Did you...
type or print (in ink) all information?
include four copies of each title submitted
enclose a money order made payable to the Hurston/Wright Foundation in the amount of $25 per title submitted?

Applications should be sent to:

The Hurston/Wright Legacy Award
12138 Central Avenue, Suite 209
Bowie, MD 20721
Phone: (301) 459-2108
Email: info@hurstonwright.org