Los Angeles Book Festival Entry Form

Please classify your book and enter it in the following categories. Multiple entries must be accompanied by a separate $50 fee for each book.

* Category Entered :

* Title :

* Publisher :

Author :

Editor :

* Brief description of your book:


* Applicant's Name :

Mailing Address :

Contact Phone :

* E-Mail :

make sure it's correct

* How did you hear about this festival?

* Would you be interested in purchasing a detailed critique from our judges?

Yes No

* Would you be interested in attending the awards ceremony?

Yes No

* Would you like to be a part of our mailing list?

Yes No

* How do you wish to pay for your entry?

Online (PAYPAL)

Offline (Check or money order payable to: JM Northern Media LLC)

* I certify that I am 18 years of age or older. I understand that applications must be accompanied by a non-refundable entry fee via check, money order or PayPal online payment of $50 in U.S. dollars for each submission.