Entry Form

All fields are REQUIRED. Any field that is not applicable to you must include "N/A."

Name:*
E-mail:*
Phone:*
-
Address:*
Book Title:*
ISBN:*
Date of Publication:*

Select each category you would like your book to be entered into. The cost is $100 USD for the first category and $50 for each additional category. Therefore, one book entered into three categories will cost $200 USD.

1st Category:*
Additional Categories: (optional)
Upload Book: (pdf, mobi, epub)*
Comments:

NOTE: If you do not wish to pay using a PayPal account, simply click the SIGN UP button during checkout and you will be given the option to pay as a guest with a credit card.