GreenBook Festival : 2013 Green Book Festival Entry Form

BOOK INFORMATION
Please classify your book and enter it in the following categories. Multiple entries must be accompanied by a separate $50 fee for each book.
* Category Entered :
* Title :
* Publisher :
Author :
Editor :
* Brief description of your book:
APPLICANT INFORMATION
* Applicant's Name :
Mailing Address :
Contact Phone :
* E-Mail :	make sure it's correct

* How did you hear about this festival?
* Would you be interested in purchasing a detailed critique from our judges? Yes No
* Would you be interested in attending the awards ceremony? Yes No
* Would you like to be a part of our mailing list? Yes No
* How do you wish to pay for your entry?
	Online (PAYPAL)
	Offline (Check or money order payable to: JM Northern Media LLC)

	* I certify that I am 18 years of age or older. I understand that applications must be accompanied by a non-refundable entry fee via check, money order or PayPal online payment of $50 in U.S. dollars for each submission.