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HRH The Duke of Edinburgh ESU English Language Book Award 2012 -Submission Form Please read the accompanying letter for the regulations. Completed forms should be returned to: Education, The ESU, Dartmouth House, 37 Charles Street, London, W1J 5ED education@esu.org Closing date: 12 noon Friday 20 July 2012 -

Books published from 1 July 2011 to 30 June 2012 are eligible to enter. Entry is ÂŁ85 for the first book submitted and ÂŁ75 for all subsequent books entered. Cheques should be made payable to The English-Speaking Union Please complete one form for each book entered There is no limit on the number of entries from any given publisher or individual. The publisher must submit three copies of each entry.

Please include the following information: Title: Author: Date of Publication:

Contact Name: Position: Publisher: Address:

Email:

I enclose a cheque for details

Phone number:

or to pay by BACS contact education@esu.org for


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