2016 Zia Book Award Online Entry Fee FormName * Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Professional Affiliation Email * Cell or home phone * Book Title(s) Please list the title(s) and number of book(s) you are entering. Book Entry Fee(s) Please select the entry fee(s) for your boo(s) submissions. Early bird deadline is December 31, 2016. Regular submission deadline is February 6, 2016Early bird fee members: $20 per bookEarly bird fee non-members: $25 per bookRegular entry fee members: $25 per bookRegular entry fee non-members: $30 per bookNMPW membership fee: $13Each additional entry fee members: $20Each additional entry fee non-members: $25 Total *Please enter the sum of the cost of your book entry fee(s) Please note the submission materials you will need to include: Cover letter with contact information (include email) containing the following: Author’s biography, Author’s connection to New Mexico, Description of the book, A copy of the book. All entries must be postmarked by February 6, 2016. Mail all submission materials to: Jessica Savage, Zia Award Contest Chair, 1612 Ralph Dr.. Las Cruces, NM 88001 VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank Share this:Click to email a link to a friend (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)MoreClick to print (Opens in new window)Click to share on Reddit (Opens in new window)