ROSA Imbali Award Entry Form 2021
For 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 post the trophies) *
Are you a ROSA Member? *
If you are a ROSA member, please supply your membership number
Book Title *
Book Language *
Word Count
Novella = 25 - 35,000 words  /   Shorter Length = 35 - 80,000 words   /   Longer Length = 80 - 115,000 words
Novella
Shorter Length
Longer Length
Afrikaans
English
Publisher (Indie authors please quote Self as publisher) *
Editor *
Original Publication Date in 2020 *
MM
/
DD
Book Format of Entry *
Romance Sub-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 2021.

I certify that the book entered is the original work of the author(s) 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
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms