The Endeavour Award
Nomination and Entry Form
Print the form from your browser and mail with five
copies of each submission to the address below.
WE MUST HAVE FULL CONTACT INFORMATION FOR THE AUTHOR. We
understand the need to protect the privacy of authors, and
only use the information for the administration of the Award
and to ensure that all finalists are invited to the Award
Ceremony. If you need to obtain an author's permission
before sending us their information, we urge you to do so.
TITLE of BOOK: __________________________________________
PUBLICATION DATE - Month:__________________ Year: _______
AUTHOR(S): ______________________________________________
ADDRESS: ________________________________________________
CITY: ___________________________ STATE: ___ZIP: ________
PHONE: (____)________________ FAX: (____)________________
EMAIL: __________________________________________________
* IF NOT THE AUTHOR, ARE YOU AN EDITOR ___ AGENT ___
PUBLISHER: ______________________________________________
CONTACT PERSON: ___________________ TITLE: ______________
ADDRESS: ________________________________________________
CITY: ___________________________ STATE: ___ZIP: ________
PHONE: (____)________________ FAX: (____)________________
EMAIL: __________________________________________________
Print the form and mail it with five copies of each submission to the
Award Chairman at:
Endeavour Award
c/o James Fiscus
1915 SE Taylor
Portland, Oregon 97214