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Entry Form

Massachusetts Book Awards 2007

(Honoring Books Published in 2006)
Submission Deadline: 9 January 2007

Title __________________________________________________________________

Author ________________________________________________________________

Publisher ______________________________________ Copyright Date ___________

Award Category (Check ONE): ___ Fiction ___ Nonfiction ___ Poetry ___ Children's

Eligibility: Massachusetts ___ Writer ___ Theme

City/Town of Author’s Residence (if resident): ________________________________

Contact Information:

Name ________________________________________________________________

Title/Dept _____________________________________________________________

Company ______________________________________________________________

Address _______________________________________________________________

City __________________________________________________________________

State ____________________________ ZIP ____________________________

Phone ___________________________ Fax ____________________________

Email _________________________________________________________________

Company Web Site _______________________________________________________

Author/Book Web Site(s) __________________________________________________


I have read and agree to the MassBook Guidelines

Signature ______________________________________________________________

Mail Entry form and FOUR copies of the book to

Massachusetts Book Awards
c/o Massachusetts Center for the Book
Hampshire College -- Post Office
893 West Street ú Amherst, MA 01002
413-559-5678
massbook@hampshire.edu; www.massbook.org

The Massachusetts Book Awards are a program of the Massachusetts Center for the Book,
the Commonwealth Affiliate of the Center for the Book in the Library of Congress.

Supported in part by: Boston Athenaeum, Boston Public Library, Hampshire College, Massachusetts Board of Library Commissioners, Massachusetts Cultural Council, Massachusetts Foundation for the Humanities, & Simmons College.