Writers Ad Programme Application Form

The Dominica Academy of Arts and Sciences (DAAS) invites Dominican writers to apply for membership to its Writers Ad Programme to take advantage of promotional opportunities.

Your Full Name:

Birth Village/Town:

Place of Residence:

E-Mail Address:
(For DAAS use only)

Telephone #:
(For DAAS use only)

Fax #:
(For DAAS use only)

Genre of work:

Publication Date:

ISBN #:

Total Pages:

Price of Work:

Online Purchase-YES/NO:

Publisher:

Distributors:

Title and Short Description of your Work:
Author Blurb:

Your Full Name:
Birth Village/Town:
Place of Residence:
E-Mail Address: (For DAAS use only)
Telephone #: (For DAAS use only)
Fax #: (For DAAS use only)
Genre of work:
Publication Date:
ISBN #:
Total Pages:
Price of Work:
Online Purchase-YES/NO:
Publisher:
Distributors: