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BINGHAMTON UNIVERSITY
JOHN GARDNER
FICTION BOOK AWARD APPLICATION
Sponsored by The Creative Writing Program at Binghamton University

Name of Author:
Home Address: (To receive an early notification, list your own address--c/o publisher's, may result in delays)


Phone Number:
E-Mail Address:
Social Security Number:
Name of Book: Book Price:


Name of Publisher:
Name of Contact at Publisher:
Publisher's Address:


Phone Number:
E-Mail Address:
Date of Application:

I understand that books cannot be returned.
DEADLINE MARCH 1, 2009

Send three copies of each book with application to:
Maria Mazziotti Gillan, Director
Creative Writing Program
Binghamton University-State University of New York
Department of English, General Literature, and Rhetoric
Library North Room 1149
Vestal Parkway East
P.O. Box 6000
Binghamton, NY 13902-6000


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updated 4/29/08