Creators Book & Media Awards

Entry form

Entry Fee is $75 (U.S. dollars) for single entry. An entry may be entered into multiple categories by paying the "subsequent entries" fee of $60 (U.S. dollars) for each additional category entered. Each piece will be judged separately in each category entered. Pieces entered in multiple categories are eligible to win multiple awards. For a full list of categories please click here for the Master Category List PDF.

For a PDF of the CBMA entry form, please click here.

Book/Media Tag

This form must be included with each book/media you submit. Securely attach a copy of the Book/Media Tag to the back of each entry. Click here for PDF of form.

Book / Media Entry #1
Category Name
Category Number:

Contact Information:

Company Name*:
Full Name*:
Address 1*:
Address 2:
City*:
State*:
Zip/Postal Code*:
Country*:
Phone Number*:
Fax Number:
Email Address*:
Re-enter Email Address*:
Website Address:
Product Information:
Book or Media Title:
Author (s):
Design firm/designer:
Illustrator (s):
Photographer (s):
Printer:
ISBN:
Give us a description of the book/media and its intended audience in 200 words or less:
Additional Comments?:

Submit Another Entry



Checkout:
Single Entry--$75 U.S. per Title/Media

Subsequent Entries--$60 U.S. per Title/Media
Total entries:
Billing Information:
Full Name*:
Address line 1*:
Address line 2:
City*:
State*:
Zip/Postal code*:
Country*:
Phone Number*:
Email Address*:
Payment Information:
All payments must be made in U.S. Currency.
Type:
Credit card number:
Card expiration date:
Month Year:
Security code:
Name on Card:
Total Amount:
Review Rerms and Conditions Below:
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* I accept these terms and conditions

Ship your submission with its book / media tag(s) to:

2011 Creators Book and Media Awards
c/o rosa+wesley
400 South Knoll Street, Suite B
Wheaton, Illinois 60187 United States