2012 ACFW Genesis Entry Form

Local Newspaper Name:

Local Newspaper Website:

Local Newspaper Contact Person Name (contact for press releases):

Local Newspaper Contact Person’s Email or Website:

Local Newspaper Contact Person’s Phone Number

This information is being collected from all entrants in the event of a semi-final or final in the Genesis Contest. Press releases will be sent by the contest coordinator as long as all information submitted for the local newspaper is complete and accurate. If information is incorrect, the press release will be sent only to the semi-finalist or finalist, and the responsibility to submit the press release to their local newspaper will be solely the entrant’s.

Are you an ACFW member? Yes   No
The ACFW member entry fee is $35. Non-member fee is $95. You may chose to join ACFW at the time of entrance in order to receive the member entry fee rate. Once your membership has been processed you will be eligible to use the member rate. Non-members may apply for membership here: Application for ACFW Membership

Please list all people, published or unpublished, who have seen this manuscript. If you are currently in a critique group within ACFW, we request that you give us a complete list of those persons in your group

Submission Category FIRST CHOICE (Select one): [Select One] Contemporary Fiction ("Present Day" setting) Contemporary Romance (includes romantic comedy) ("Present Day" setting) Historical Fiction (Not romance, up to and including the Vietnam era including Westerns and Biblical-era Fiction) Historical Romance (Anything up to and including the Vietnam era) Mystery/Suspense/Thriller Romantic Suspense Speculative Fiction Women's Fiction Young Adult

If fewer than 10 entries are received in any of these categories, the category will not be judged and the entries moved to a second-choice category (below).

Submission Category SECOND CHOICE: [Select One] Contemporary Fiction ("Present Day" setting) Contemporary Romance (includes romantic comedy) ("Present Day" setting) Historical Fiction (Not romance, up to and including the Vietnam era including Westerns and Biblical-era Fiction) Historical Romance (Anything up to and including the Vietnam era) Mystery/Suspense/Thriller Romantic Suspense Speculative Fiction Women's Fiction Young Adult

My manuscript is --- Select Percentage Complete --- 25% 50% 75% 100% complete. (Note: Your manuscript does NOT need to be completed to enter it into the Genesis in 2012 but will in 2013.)

I am paying for my entry via: credit card online
ACFW Member entry fee: $35       Non-member entry fee: $95

I, as author of this novel, have read and understood the rules of this contest and agree to abide by the final decision of its judges and the contest committee. I certify that I have been unpublished in novel length fiction within the last seven years and that the manuscript I submit is my own original work.
Accept: (click on box to check it affirming that you agree with the statement above)

Upload the file you are submitting to the contest by clicking the browse button below and selecting the file from your desktop. Your file should be named with the full title of your book to distinguish it from other entries. (Please avoid general titles such as "chapter1.doc".) The file name should not contain spaces or unusual characters. An underscore "_" or dash "-" can serve as a space if necessary.