Heart and Scroll Contests: Madcap

Heart & Scroll Contests

Madcap 2009 Entry Form

Author's Name
Nominator's Name (if applicable)
Pseudonym (if applicable)
Address
Phone Number
E-mail Address

Books entered (you may attach an extra sheet if this is not enough space):

	Title	Publisher/line	Category
(1)
(2)
(3)

I hereby certify that I will abide by Heart & Scroll's rules and judges' decisions. I understand that my entry may be disqualified if it does not arrive by the deadline or otherwise does not comply with the official Madcap Award contest rules. I have enclosed $25 for each book entered.

Signature

Date

Mail books, check and entry form to:

Madcap Contest

1024 West Taylor Street

Bloomington, IL 61701