Prize Redemption Form

* Indicates required field

Name *

First

Last

Email *

Name of Contest (i.e. Best Book Cover, Poetry Contest) *

Address where you would like your prize shipped *

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City

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Zip Code

Country

You are entitled to a Free Gift Card. Choose from one of the following pictured below: *

Include your purchase link for a free book review (1st Place Winners ONLY*) *

You are entitled to free promo on our site. Complete the section below:

What is the name of the book you want us to promote? *

Insert Book Synopsis *

Insert Book Purchase Link *

Attach Cover *

Max file size: 20MB

Include 3rd Person Author Bio *

Attach Recent Head Shot Photo *

Max file size: 20MB

Sign *

Date *

Woud you like to support Dream Pathways Kids by donating a children's book or $1 dollar? *

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