| 2007 "Ulysses" Award for Superior Independently Published Fiction |
| OFFICIAL ENTRY FORM Please enter the following title in the 2007 "Ulysses" Award for Superior Fiction Entry form and fee to (insert reader assigned by IndyLit): Genre of submission: _____ Mainstream _____ Literary _____ Sci-Fi _____ Romance _____ Fantasy _____ Experimental _____ Other (please specify) _________________________________________________ Author's Name: ____________________________________________________________ Address:__________________________________________________________________ City, State & Zip:____________________________________________________________ Email address:_____________________________________________________________ Book Title:________________________________________________________________ ISBN (required):____________________________________________________________ Publisher:_________________________________________________________________ Date of publication:__________________________________________________________ If Applicable (i.e. if you're an editor or publisher nominating an author) Publisher contact:___________________________________________________________ Publisher Address:__________________________________________________________ Publisher email:____________________________________________________________ Brief description of work:_____________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Author bio:________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Signature (required):________________________________________________________ |
| - 1999 Independent Literature Institute |