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