Book Festivals Express Entry Form Page 2

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Name
Address
Phone
Email
credit card number:
Credit Card Information
expiration date:
security code:
Book Title
Publishing company
Mail your package to JM Northern Media, 7095 Hollywood Blvd. Suite 864, Hollywood,
CA 90028.
The undersigned hereby agrees to purchase ______entries from JM Northern Media for
its book festivals for the amount of $____________ and agrees to abide by all terms and
conditions stated. Full payment must be enclosed with your invoice.
_____________________ __________________________________ ___________
Signature
print your name
date
E-book entries are welcome. You can enter an e-book in three ways:
1. Send as a .pdf to our e-mail address () labeled as
“E-book Multiple Entry” in the subject line attaching your entry form. If you are
sending us a check/money order instead of using your credit card, then mail a
copy of the entry form along with your check/money order to our mailing address.
2. Use our E-book Uploader by clicking the following link:
to send a copy of your
work. We accept most e-book formats. Then send an e-mail to us labeled as “E-
Book Multiple Entry” with your entry form attached. If you are sending us a
check/money order instead of using your credit card, then mail a copy of the entry
form along with your check/money order to our mailing address.
3. Send us a Kindle copy as a gift. Send an e-mail to us labeled as “E-Book Multiple
Entry” indicating that you’ve sent the book, attaching your entry form. If you are
sending us a check/money order instead of using your credit card, then mail a
copy of the entry form along with your check/money order to our mailing address.
You will receive a confirmation email when your package is logged into our system and
entered into judging.

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