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Name *
E-mail Address *
Address: *
City/State/Zip *
Telephone: *
Do you have a book finished or nearly finished? *
If Other, please explain below.
Does your book have a tentative title? *
If so, please list below:
What is your book's primary audience? *
Is your book fiction or nonfiction? *
Briefly describe your book's subject category (poetry, novel, science, health, relationships,politics,etc.) *
Approximately how many words does your book contain? Please give word count or number of single-spaced or double spaced typed pages.
Do you see your book as suitable for: *
If you have considered the number of copies to be printed for your first edition, what figure do you have in mind? *
Have you ever been published before? *
If yes, please explain below.
