Book prize application Please read the rules of entry before completing the form below. You are able to save and come back to this page (see the bottom of form). If you have any queries, please contact us. BookTitle*Name of publisher*UK publication date* AuthorFirst name*Last name* Add second author Second authorWebsiteWebsite (other author)EditorNameEmail PhonePublicistNameEmail PhoneAgentNameEmail PhoneMain contact*AuthorPublisher (complete below)EditorPublicistAgentOther (complete below)NameEmail PhoneCover and author photosWe don't need high resolution artwork - if possible please resize the image to 1000 pixels across at screen resolution. The maximum file size is 4mbBook cover*Accepted file types: jpg, jpeg, png, pdf.Author photoAccepted file types: jpg, jpeg, png.Submission contract (your details)I am the*AuthorPublisherEditorPublicistAgentPrize AdministratorNone of the aboveOtherIf none of the above selectedName*PhoneEmail* I confirm* I have read the rules of entry and the book meets the eligibility criteria I will post five copies of the book (address on next page) The author’s work is all their own and has not been plagiarised If I am shortlisted, the author is happy to potentially participate in an educational workshop run by The Orwell Youth Prize, giving students aged 14-18 the chance to meet professional writers. More info on the workshops (opens in a new tab) Signature*I declare that this work, submitted for consideration for the Orwell Prize for Books, is wholly or substantially my own, and does not contain any plagiarised or unacknowledged material.PhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.