ROSA Imbali Award Entry Form 2019
ROSA Imbali Award of Excellence in Romance writing
Sign in to Google to save your progress. Learn more
Email *
Author Name (as used in this book) *
Real Name and Surname *
Contact Telephone Number *
Physical Address (where we ship the trophy should you win) *
ROSA Membership Number *
Book Title *
Book Language *
Word Count
Please Select
Afrikaans 25,000 - 85,000 words (max 15 entries)
English Shorter Length 25,000 - 80,000 words (max 12 entries)
English Longer Length 80,000 - 115,000 words (max 5 entries)
Clear selection
Publisher (Indie authors please quote Self as publisher) *
Editor *
Original Publication Date in 2018 *
MM
/
DD
Book Format of Entry *
Romance Genre *
Terms & Conditions
By submitting this entry I acknowledge that I have read, understood and accept the Terms & Conditions of entry for the Imbali Award 2019.

I certify that the book entered is the original work of the author named on this form.

I agree to indemnify, defend and hold harmless ROSA (Romance writers Organisation of South Africa), its officers, members and judges of the contest from liability for their actions, whether in relation to disputes as to the conducting, sponsoring, advertising, judging and handling of this entry, or arising from my participation in this contest.

Date of Entry *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms