SELF PUBLISH RIGA 2018 DUMMY CONTEST ENTRY FORM

SELF PUBLISH RIGA 2018

DUMMY CONTEST ENTRY FORM

PLEASE CHECK ALL FIELDS!

The submission cost of one dummy is 10 EUR. Please make your payment before filling in the form to ensure that your application data is saved.

Registration fee: EUR 10.00


PERSONAL INFORMATION

Name:
Last name:
Date of birth: Day: Month: Year:
Gender:
Nationality:
Country of permanent residence:
Email:
Phone number: Country code: Number:
Current postal address:
(street, city, country, ZIP code)
Personal website:
(if any)

BACKGROUND

Short bio:
(max 500 characters)


characters left.

DUMMY INFO

Title:
Year of creation:
Number of copies:
Designers/ editors/ others involved:
About the book
(short description of the project, max 1000 characters)

characters left.

RETURN

If my dummy is not shortlisted:
I would like to donate the dummy to the ISSP library
I would like my dummy to be returned to me*
* In the case of return, the shipping costs are the authors' responsibility - we will contact you after the event.
By submitting this form, I agree to the SELF PUBLISH RIGA terms and conditions.

Before submitting please print out the form and send it together with your dummy

SELF PUBLISH RIGA,
ISSP
Berga Bazārs, Marijas 13, k-3
Riga, Latvia
LV-1050