Name: _______________________________________________________________
Address: _____________________________________________________________
_____________________________________________________________________
E-mail: ______________________________________
Day Phone: ____________________ Evening Phone: _________________________
Member FWA: Yes / No (You need not be a member to enter, but for more information about the Florida Writers Association, )
Title of entry: ____________________________________________________
Category - Check One:
_____ Mystery/Suspense/Thriller
_____ Fiction-General
_____ Young Adult
_____ Science Fiction/Fantasy
Disclaimer: I have read the rules and guidelines governing the Lighthouse Book Awards Competition for unpublished work and attest to my eligibility. I understand that judging is subjective and agree to abide by these rules and will accept the decisions of the judges and contest personnel as final. I agree to hold harmless Florida Writers Association and contest personnel and judges for any and all disputes arising from this contest or from this contest or from circumstances beyond their control.
Signature: ____________________________ Date: ________________
Entry Fee: $35 per entry. You must submit a separate entry form for each entry, but you may combine the fees on one check.
Check # ________ Payable to FWA
Entry checklist: See Contest Rules for complete guidelines.
_______ Three (3) copies of manuscript in the format stipulated in Contest Rules.
_______ Three (3) copies of a one-page synopsis. Do not put your name on either the manuscript or 
synopsis.
_______ Signed entry form for each submission
_______ Include a USPS Priority Mail Flat Rate envelope with adequate postage (STAMPS only) for return of score sheet and entry. No metered, FedEx, or UPS returns accepted. No score sheet/entry will be returned without SASE.
_______ $35 per entry – check payable to FWA
_______ SASE postcard for acknowledgment of receipt of entry (Optional)
_______ Send entries by either USPS or UPS.
SEND ENTRIES TO:
Lighthouse Book Awards
13245 Atlantic Blvd.
Suite 4-407
Jacksonville, FL 32225
