NCSS Award: Carter G. Woodson Award Publisher Information Form
Please complete this form so that NCSS can keep you updated with important Carter G. Woodson Book Award Information.  
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Email *
Organization *
Publisher Company Name
Address *
City *
State *
Zipcode *
Prefix *
Please provide your prefix.
Publisher Contact First Name *
Please provide your first name.
Publisher Contact Last Name *
Please provide your last name.
Publisher Contact - Email *
Please provide your Email.
Publisher Contact - Phone Number *
Please provide your phone number.
Submitted Book Title *
Please provide book title.
1. Author First Name *
Please provide book author's first name.
1. Author Last Name *
Please provide book author's last name.
2. Author First Name
Please provide book author's first name.
2. Author Last Name
Please provide book author's last name.
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