2011Entry Form

Kemper and Leila Williams Prize

for the best work on Louisiana history published between January 1 and December 31, 2010

Please submit FOUR (4) copies of this form and FOUR (4) copies of the nominated work

by 16 January 2012, to

Chair, Williams Prize Committee

The Historic New Orleans Collection

533 Royal Street, New Orleans, Louisiana 70130-2179

Date submitted _________________________

Author’s Name ____________________________________________________________

Address ____________________________________________________________

Telephone (________) ______ - _____________

Title of published work

__________________________________________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________

isbn ___________________________

Publisher _______________________________________ attn: ____________________

Address ___________________________________________________________________

Telephone ( ____ ) ______ - ___________ Fax ( _____ ) ______ - __________

e-mail: _____________________________

The Williams Prize Committee is appointed annually by the Louisiana Historical Association. It reserves the right to amend its award procedure and determine eligibility of entries without prior notice. The committee chair must receive all nominations in quadruplicate by January 16, 2012.

 

Signature of applicant ___________________________________

Please submit FOUR copies of this form
and Four copies of the published work