Entry Form

Please copy and complete the form in full, sign the declaration and send it with your book and entry fee of  £15.00 to Quagga Books, 2 Leslie Gardens, Sutton, Surrey SM2 6QU 


Book Title ---------------------------------------------------------------------------------------------


Author -------------------------------------------------------------------------------------------------


Date of Publication -------------------------------------------------


ISBN -------------------------------------------------


Your Name in Full -----------------------------------------------------------------------------------


Your Postal Address ---------------------------------------------------------------------------------


Your email Address ----------------------------------------------------------------------------------


(Contact details will not be disclosed without your permission)


I declare that I am an Independent (self-published) author and that I have read the terms and conditions for The Quagga Prize, 2018, and that my book is entirely my own work


Signature --------------------------------------------------------------------------------------------------



Please tick the source of information about the Prize: Press ad, Word of Mouth, Online ad, Writing Group, Other (specify)

Please email for a copy of the entry form for The Quagga Prize 2018.