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Your Full Name
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Pseudo Name (Pen Name)
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Email (primary address for correspondence)
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URL (your website address)
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Date submitting manuscript information
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Phone Number & best time to contact you
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Book Title (include sub-title)
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Genre (Fiction, Non-Fiction, Inspiration, New Age, etc...)
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Word Count
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Document Type (MS Word, WordPerfect, RTF)
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Desired Binding (Hardcover, Paperback, Ebook)
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When are you planning to publish?
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Will we be editing your manuscript? If no, make sure it is professionally edited.
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Yes
No
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Will we be applying for copyrights on your behalf?
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Yes
No
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Will you need an Index for this book (nonfiction titles only)?
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Yes
No
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Do you have other published works?
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Yes
No
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If you have other published works list titles and ISBNs for them.
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Do you have forthcoming titles. If yes, list them.
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Do you want a customized cover for this title?
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Yes
No
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Do you want this title announced to the book industry?
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Yes
No
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Where will this book be placed (private sales, seminars, retail stores, internet, library, worldwide)
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What will be the approximate size of your first print run?
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What printing method would you like to use (offset, POD)?
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List any questions, comments, or concerns that you have.
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