» 2021 CT Book Awards Submission Area

Book Title*
ISBN*
Abstract*
Jacket Cover*
Accepted file types: jpg, png, jpeg.
Please submit a JPG file. Maximum file size is 2MB.
Author Name*
First Last
Author Pen Name (if applicable)
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Website
Bio*
Author photo*
Accepted file types: jpg, png, jpeg.
Please submit a JPG file. Maximum file size is 2MB.

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Is your book self-published? Please check Yes or No.*
- Yes
- No
If you are self-published, please just duplicate your information from the previous page.
Publisher*
Publisher Website
Contact Name at Publisher*
First Last
Contact Email*
Email Confirm email
Contact Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Submission fees*
- 2,000 or fewer - $40
- 2,000-4,999 - $50
- 5,000-9,999 - $60
- 10,000 or more - $100
Total
$0.00
Credit Card*

Card Details

Cardholder Name

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