Scribe Awards Entry Form

Name(required)

Pen Name (If Applicable)

Email(required)

Phone Number THIS IS NEVER SHARED. It is only used to contact an author if there's a problem or question.(required)

Mailing Address THIS IS NEVER SHARED. It is only used for sending certificates or trophies to the nominees and winners.

Street Address: (required)

City:(required)

State or Territory:(required)

Country:(required)

Postal Code:(required)

Title (and Franchise)(required)

Publication Date(required)

Publisher(required)

Editor's Name(required)

Editor's Contact Information(required)

Additional Information