Foundation for Australian Literary Studies Margaret & Colin Roderick Literary Award 2024 Award entry form

2024 Award entry form

Please ensure you have read the terms and conditions governing the Colin Roderick Award prior to completing this form.

A $50 entry fee applies to all submissions and will be processed on the second page of this entry form.

NOTE: If you intend to submit more than one title into the awards, please contact us if you would like to pay for all submissions in a single transaction.

Author details

First name *

Last name *

Phone number *

Email address *

Address * Street, City, State, Postcode

Title of entry *

Date of original impression *

Month Year

Publisher details

Name of Publisher *

First name *

Last name *

Phone number *

Email address *

Submitted by *

Submitter details (if different from author or publisher)

First name *

Last name *

Submitter Email address *

Position * Relationship to author

Phone number *

Declaration

Declaration * Ensure you have read the terms and conditions governing the award.

I/We agree to be bound by the conditions governing the award.