FAW Entry Form 2014
Content
FAW National Literary Awards 2014
ENTRY FORM
Entries must be received by 30 November 2014
Please use a SEPARATE entry form for EACH entry you submit
Except for published works, ensure your name does NOT appear on any of the pages of
your work other than the cover page, which will be removed prior to judging.
AWARD (Tick ONE Award only)
1. FAW EXCELLENCE IN NON-FICTION AWARD
3. FAW ANNE ELDER AWARD
2. FAW CHRISTINA STEAD AWARD
4. FAW BARBARA RAMSDEN AWARD
6. FAW JENNIFER BURBIDGE SHORT STORY AWARD
5. FAW IMPACT DIGITAL COMMUNITY WRITERS AWARD
If entering FAW Community Writers Award... Name of Writers Group?
..........................................................................................................................................................................................
7. FAW MARY GRANT BRUCE SHORT STORY AWARD FOR CHILDREN’S LITERATURE
If entering FAW Mary Grant Bruce Short Story Award for Childrens Literature... Do you Live in Gippsland?
YES
NO
8. FAW JOHN SHAW NEILSON POETRY AWARD
10. FAW ANGELO B. NATOLI SHORT STORY AWARD
9. FAW JIM HAMILTON AWARD PART A FICTION
11. FAW DI CRANSTON AWARD
9. FAW JIM HAMILTON AWARD PART B S.F./FANTASY
TITLE OF ENTRY: ...........................................................................................................................................................
AUTHOR’S NAME: Title: ..........Given Names: ........................................ Surname: ......................................................
If the Author is a FAW (Victoria) Member - Membership Number (if known) : ................................................................
CONTACT PERSON*: Title: ..........Given Name: ........................................ Surname: ...................................................
(*Complete if submitted by a Publisher.)
ADDRESS: (this is where Notices and Certificates will be sent)
..........................................................................................................................................................................................
SUBURB/CITY:........................................................................ STATE: ................................... POSTCODE: .................
PHONE: (.........)....................................................................... MOBILE: ........................................................................
EMAIL: ......................................................................@...................................................................................................
I have read the “General Conditions of Entry” and those applying to the particular Award I have entered and I agree to
comply with these. I understand that my work may be selected and retained for inclusion in an anthology of the entries
in these Awards. I also understand I will, if selected, be contacted separately regarding this matter.
SIGNATURE: ...........................................Print Name: ....................................................................Date: .......................
Total Number of Entries submitted with this payment: ....................... Total Value: $......................................................
ENTRY FEES
Please make cheques or money orders payable to “Fellowship of Australian Writers”. If paying this way, cheques
or money orders MUST be included with entries. If you are submitting multiple entries ONE payment will suffice.
Multiple entries may be sent in the one envelope. Please do not staple cheques to entry forms.
I have included a cheque/money order
MASTERCARD
VISA
Or charge my credit card as follows (Please write clearly):
Name on Card: ..............................................................................................
Expiry Date:
SIGNATURE: ..............................................................
Date: ..............................................................
Post Entries to: Awards Coordinator, 2014 FAW National Literary Awards,
C/- Harlequin GOC, PO Box 144, Box Hill, VIC. 3128
Entry forms may also be obtained at www.writers.asn.au Enquiries: [email protected]
FAW National Literary Awards 2014
ENTRY FORM
Entries must be received by 30 November 2014
Please use a SEPARATE entry form for EACH entry you submit
Except for published works, ensure your name does NOT appear on any of the pages of
your work other than the cover page, which will be removed prior to judging.
AWARD (Tick ONE Award only, submit one form per entry. ONE payment is preferred for multiple entries )
12. FAW YOUNG POET OF THE YEAR AWARD
Part A
Part B
13. FAW MICHAEL DUGAN SHORT STORY AWARD
Part A
Part B
Part A
Part B
14. FAW JOHN MORRISON SHORT STORY AWARD
15. FAW FAW MAVIS THORPE CLARKE AWARD PART A (INDIVIDUAL ENTRY)
16. FAW FAW MAVIS THORPE CLARKE AWARD PART (GROUP ENTRY)
17. FAW IVY HART PEACE AND ENVIRONMENT RHYMING POETRY AWARD
FOR CATEGORIES 12, 13 and 14 (Individual entries): DATE OF BIRTH: .............../..................../.................
FOR CATEGORIES 15,16 and 17: NAME OF SCHOOL ATTENDING IN 2014: ..............................................................
For these categories Parent, Guardian or Teacher details must be included below
TITLE OF ENTRY: ...........................................................................................................................................................
AUTHOR’S NAME: Title: ..........Given Names: ........................................ Surname: .......................................................
If the Author a FAW (Victoria) Member - Membership Number: (if known) ........................................................................
CONTACT PERSON*: Title: ..........Given Name: ........................................ Surname: .....................................................
(*Parent, if under 18 years of age, or Teacher, if part of school submission.)
ADDRESS: (this is where Notices and Certificates will be sent)
..........................................................................................................................................................................................
SUBURB/CITY:........................................................................ STATE: ................................... POSTCODE: .................
PHONE: (.........)....................................................................... MOBILE: ........................................................................
EMAIL: ......................................................................@...................................................................................................
I have read the ‘General Conditions of Entry’ and those applying to the particular Award I have entered and I agree to
comply with these. I understand that my work may be selected and retained for inclusion in an anthology of the entries
in these Awards. I also understand I will, if selected, be contacted separately regarding this matter.
SIGNATURE: ...........................................Print Name: ....................................................................Date: .......................
Total Number of Entries submitted with this payment: ....................... Total Value: $......................................................
ENTRY FEES
Please make cheques or money orders payable to ‘Fellowship of Australian Writers’. If paying this way, cheques
or money orders MUST be included with entries. If you are submitting multiple entries ONE payment will suffice.
Multiple entries may be sent in the one envelope. Please do not staple cheques to entry forms.
I have included a cheque/money order
MASTERCARD
VISA
Or charge my credit card as follows (Please write clearly):
Name on Card: ..............................................................................................
Expiry Date:
SIGNATURE: ..............................................................
Date: ..............................................................
Post Entries to: Awards Coordinator, 2014 FAW National Literary Awards,
C/- Harlequin GOC, PO Box 144, Box Hill, VIC. 3128
Entry forms may also be obtained at www.writers.asn.au Enquiries: [email protected]
ENTRY FORM
Entries must be received by 30 November 2014
Please use a SEPARATE entry form for EACH entry you submit
Except for published works, ensure your name does NOT appear on any of the pages of
your work other than the cover page, which will be removed prior to judging.
AWARD (Tick ONE Award only)
1. FAW EXCELLENCE IN NON-FICTION AWARD
3. FAW ANNE ELDER AWARD
2. FAW CHRISTINA STEAD AWARD
4. FAW BARBARA RAMSDEN AWARD
6. FAW JENNIFER BURBIDGE SHORT STORY AWARD
5. FAW IMPACT DIGITAL COMMUNITY WRITERS AWARD
If entering FAW Community Writers Award... Name of Writers Group?
..........................................................................................................................................................................................
7. FAW MARY GRANT BRUCE SHORT STORY AWARD FOR CHILDREN’S LITERATURE
If entering FAW Mary Grant Bruce Short Story Award for Childrens Literature... Do you Live in Gippsland?
YES
NO
8. FAW JOHN SHAW NEILSON POETRY AWARD
10. FAW ANGELO B. NATOLI SHORT STORY AWARD
9. FAW JIM HAMILTON AWARD PART A FICTION
11. FAW DI CRANSTON AWARD
9. FAW JIM HAMILTON AWARD PART B S.F./FANTASY
TITLE OF ENTRY: ...........................................................................................................................................................
AUTHOR’S NAME: Title: ..........Given Names: ........................................ Surname: ......................................................
If the Author is a FAW (Victoria) Member - Membership Number (if known) : ................................................................
CONTACT PERSON*: Title: ..........Given Name: ........................................ Surname: ...................................................
(*Complete if submitted by a Publisher.)
ADDRESS: (this is where Notices and Certificates will be sent)
..........................................................................................................................................................................................
SUBURB/CITY:........................................................................ STATE: ................................... POSTCODE: .................
PHONE: (.........)....................................................................... MOBILE: ........................................................................
EMAIL: ......................................................................@...................................................................................................
I have read the “General Conditions of Entry” and those applying to the particular Award I have entered and I agree to
comply with these. I understand that my work may be selected and retained for inclusion in an anthology of the entries
in these Awards. I also understand I will, if selected, be contacted separately regarding this matter.
SIGNATURE: ...........................................Print Name: ....................................................................Date: .......................
Total Number of Entries submitted with this payment: ....................... Total Value: $......................................................
ENTRY FEES
Please make cheques or money orders payable to “Fellowship of Australian Writers”. If paying this way, cheques
or money orders MUST be included with entries. If you are submitting multiple entries ONE payment will suffice.
Multiple entries may be sent in the one envelope. Please do not staple cheques to entry forms.
I have included a cheque/money order
MASTERCARD
VISA
Or charge my credit card as follows (Please write clearly):
Name on Card: ..............................................................................................
Expiry Date:
SIGNATURE: ..............................................................
Date: ..............................................................
Post Entries to: Awards Coordinator, 2014 FAW National Literary Awards,
C/- Harlequin GOC, PO Box 144, Box Hill, VIC. 3128
Entry forms may also be obtained at www.writers.asn.au Enquiries: [email protected]
FAW National Literary Awards 2014
ENTRY FORM
Entries must be received by 30 November 2014
Please use a SEPARATE entry form for EACH entry you submit
Except for published works, ensure your name does NOT appear on any of the pages of
your work other than the cover page, which will be removed prior to judging.
AWARD (Tick ONE Award only, submit one form per entry. ONE payment is preferred for multiple entries )
12. FAW YOUNG POET OF THE YEAR AWARD
Part A
Part B
13. FAW MICHAEL DUGAN SHORT STORY AWARD
Part A
Part B
Part A
Part B
14. FAW JOHN MORRISON SHORT STORY AWARD
15. FAW FAW MAVIS THORPE CLARKE AWARD PART A (INDIVIDUAL ENTRY)
16. FAW FAW MAVIS THORPE CLARKE AWARD PART (GROUP ENTRY)
17. FAW IVY HART PEACE AND ENVIRONMENT RHYMING POETRY AWARD
FOR CATEGORIES 12, 13 and 14 (Individual entries): DATE OF BIRTH: .............../..................../.................
FOR CATEGORIES 15,16 and 17: NAME OF SCHOOL ATTENDING IN 2014: ..............................................................
For these categories Parent, Guardian or Teacher details must be included below
TITLE OF ENTRY: ...........................................................................................................................................................
AUTHOR’S NAME: Title: ..........Given Names: ........................................ Surname: .......................................................
If the Author a FAW (Victoria) Member - Membership Number: (if known) ........................................................................
CONTACT PERSON*: Title: ..........Given Name: ........................................ Surname: .....................................................
(*Parent, if under 18 years of age, or Teacher, if part of school submission.)
ADDRESS: (this is where Notices and Certificates will be sent)
..........................................................................................................................................................................................
SUBURB/CITY:........................................................................ STATE: ................................... POSTCODE: .................
PHONE: (.........)....................................................................... MOBILE: ........................................................................
EMAIL: ......................................................................@...................................................................................................
I have read the ‘General Conditions of Entry’ and those applying to the particular Award I have entered and I agree to
comply with these. I understand that my work may be selected and retained for inclusion in an anthology of the entries
in these Awards. I also understand I will, if selected, be contacted separately regarding this matter.
SIGNATURE: ...........................................Print Name: ....................................................................Date: .......................
Total Number of Entries submitted with this payment: ....................... Total Value: $......................................................
ENTRY FEES
Please make cheques or money orders payable to ‘Fellowship of Australian Writers’. If paying this way, cheques
or money orders MUST be included with entries. If you are submitting multiple entries ONE payment will suffice.
Multiple entries may be sent in the one envelope. Please do not staple cheques to entry forms.
I have included a cheque/money order
MASTERCARD
VISA
Or charge my credit card as follows (Please write clearly):
Name on Card: ..............................................................................................
Expiry Date:
SIGNATURE: ..............................................................
Date: ..............................................................
Post Entries to: Awards Coordinator, 2014 FAW National Literary Awards,
C/- Harlequin GOC, PO Box 144, Box Hill, VIC. 3128
Entry forms may also be obtained at www.writers.asn.au Enquiries: [email protected]
