OFFICIAL ENTRY FORM

Name (please print) _____________________________________________________
RWA #  _____________________
Address: ______________________________________________________________
City/State/Zip __________________________________________________________
Daytime Phone: ____________________         Evening Phone: ____________________
Email: ________________________________________________
Title of Entry: __________________________________________

Category (please check only one for each entry)

_____          Series Contemporary
_____          Single Title Contemporary
_____          Historical
_____          Futuristic/Fantasy/Sci-Fi/Time Travel/Paranormal
_____          Romantic Suspense
_____          Inspirational

Entry Fee:
       $25.00 check or money order in U.S. funds, made out to CORW.

Mail to:
   Charter Oak Romance Writers
   Contest Coordinator
   P.O. Box 330250
   West Hartford, CT 06110

 Questions? Contact Iris: [email protected]

I have read, understood and agreed to abide by the rules of THE OAK LEAF AWARD OF EXCELLENCE. I understand that contest judging is subjective. I understand that the decisions of the judges will be deemed final and I agree to be bound by the judges’ decisions. I agree to be bound by the contest officials’ decisions regarding any question or dispute arising from or relating to the contest, the interpretation of official rules, and matters relating to the contest not specifically covered by the official rules. In the event of any dispute arising from or relating to this contest, I agree to indemnify, defend and hold harmless CORW chapter, its members, officers, contest personnel and judges from any and all liability. I agree that the laws of the State of Connecticut shall govern this contest and any disputes arising from or relating to it. I understand that failure to agree to the above terms automatically disqualifies my entry.

  Date: ___________________  Entrant’s Signature: ___________________________________