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EMERGING DESIGNER 2021 Entry Form
Contact us at (09) 280 3213 or
admin@publishers.org.nz
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* Indicates required question
Email
*
Your email
Designer's details
Designer's name
*
Your answer
Designer's email (if different from above)
*
Your answer
Postal address
Your answer
Phone number
*
Your answer
New Zealand citizen or resident (for at least three years prior to 31 December 2020)
*
Yes
No
Contact person (if different to the entered designer)
*
Your answer
Book details - Book 1
Book 1: Title
*
Your answer
Book 1: Author
*
Your answer
Book 1: Publisher
*
Your answer
Book 1: Publication date
*
MM
/
DD
/
YYYY
Book 1: Audience
*
General Adult
General Children
Other:
If Other please specify
Your answer
Book 1: Designer's contribution
*
Designer all
Cover designer
Interior designer
Other:
If other please specify
Your answer
Book 1: Publisher requirement
*
Your answer
Book 1: Design statement
*
Your answer
Book details: Book 2
Book 2: Title
Your answer
Book 2: Author
Your answer
Book 2: Publisher
Your answer
Book 2: Publication date
MM
/
DD
/
YYYY
Book 2: Audience
General Adult
General Children
Other:
Clear selection
If Other please specify
Your answer
Book 2: Designer's contribution
Designer all
Cover designer
Interior designer
Other:
Clear selection
If other please specify
Your answer
Book 2: Publisher requirement
Your answer
Book 2: Design statement
Your answer
Book details: Book 3
Book 3: Title
Your answer
Book 3: Author
Your answer
Book 3: Publisher
Your answer
Book 3: Publication date
MM
/
DD
/
YYYY
Book 3: Audience
General Adult
General Children
Other:
Clear selection
If Other please specify
Your answer
Book 3: Designer's contribution
Designer all
Cover designer
Interior designer
Other:
Clear selection
If other please specify
Your answer
Book 3: Publisher requirement
Your answer
Book 3: Design statement
Your answer
Book details: Book 4
Book 4: Title
Your answer
Book 4: Author
Your answer
Book 4: Publisher
Your answer
Book 4: Publication date
MM
/
DD
/
YYYY
Book 4: Audience
General Adult
General Children
Other:
Clear selection
If Other please specify
Your answer
Book 4: Designer's contribution
Designer all
Cover designer
Interior designer
Other:
Clear selection
If other please specify
Your answer
Publisher requirement
Your answer
Book 4: Design statement
Your answer
Terms and Conditions
The Criteria can be downloaded from
www.bookdesignawards.co.nz/how-to-enter/
or email
admin@publishers.org.nz
I understand and agree to the conditions of entry as outlined in the Criteria
*
Yes
Required
Additional action required
Please send ONE copy of book BY COURIER ONLY to:
PANZ Book Design Awards 2021
Publishers Association of New Zealand
Level 6, 19-21 Como Street
Takapuna
Auckland
0622
I will courier one copy of book by the deadline (Friday 11 June 2021)
*
Yes
Required
A copy of your responses will be emailed to the address you provided.
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