To enter a book for the 2013 Royal Society Young People's Book Prize, please complete and submit this form online (so we know the entry is on its way) and send seven copies of the book to the Royal Society Young People's Book Prize, 6-9 Carlton House Terrace, London, SW1Y 5AG, United Kingdom (Courier contact telephone: +44 (0)20 7451 2500 No cover sheet/enclosures needed.)

Both this form and the books must arrive with us by 6pm (GMT), Friday 8 February 2013.

Please ensure you have read and understood the terms of entry, available on the Prize's website. Please also note that entries must be made by the publisher of the book, and entries must have been published for the first time in English in the calendar year of 2012.

Please complete one form for each book you wish to enter. Please use Normal Case, NOT UPPER CASE.

When you have successfully submitted the form, a confirmation page will appear. If the survey reappears, please check you have answered all the questions marked with an asterisk *.

* 1. Title of the Book:

* 2. Author(s) of the book:

* 3. Publisher of the book:

* 4. Please indicate the target age range:

* 5. Retail price:

* 6. Original language of publication:

* 7. Date of first publication

in English:
and in original language, if not English:
Entry submitted by:

* 8. Name of person submitting

* 9. Company/Organisation:

* 10. Email address

* 11. Postal address and telephone number

* 12. Marketing or Press contact for book

* 13. Email address of marketing or press contact

* 14. Mailing preferences
We have two email lists. The first is to inform publishers of the call for entries each year. By entering this year's Prize, we will normally add you to the list to be informed of next year's Prize. If you would prefer not to be contacted next year, please tick the box below. The second email list is for anyone who wants to receive our email newsletters about the Prizes. If you would like to be added to that list, please tick the box below.

* 15. By submitting this form, I enter the above book to the 2013 Royal Society Young People's Book Prize on behalf of the above publisher of the book. On behalf of the above publisher, I confirm the book is eligible, and agree to the terms of entry listed on the Royal Society website.