This form is intended to give you choices about the information
that you want to share about your book or books. You decide what
details you want to provide. Obviously the more you share, the more
may be included. If you offer self help, how to or similar resource books, please list them first. Please allow up to ten business days for a response.
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1. Author first name:
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2. Author Last name:
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3. Your e-mail address:
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4. Your web site URL:
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5. Your web site #2 URL:
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6. Your web site #3 URL:
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7. Give a 100 word description about yourself:
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8. Name of book #1:
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9. Give a 30 word description of your book:
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10. ISBN of hardcover:
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11. Publisher’s name and year published:
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12. Publisher’s telephone number:
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13. Suggested retail price of hardcover:
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14. ISBN of softcover:
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15. Suggested retail price of softcover:
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16. Name of book #2:
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17. Give a 30 word description of your book:
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18. ISBN of hardcover:
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19. Publisher’s name and year published:
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20. Publisher’s telephone number:
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21. Suggested retail price of hardcover:
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22. ISBN of softcover:
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23. Suggested retail price of softcover:
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24. Name of book #3:
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25. Give a 30 word description of your book:
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26. ISBN of hardcover:
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27. Publisher’s name and year published:
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28. Publisher’s telephone number:
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29. Suggested retail price of hardcover:
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30. ISBN of softcover:
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31. Suggested retail price of softcover:
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32. How may readers contact you? Give details of e-mail,
telephone, address, etc., whatever means you choose or
indicate “no contact”:
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33. Book sales
a. Do you sell books directly, and if so, do you offer any discount?:
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b. Other sources that sell your books:
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34. Do you offer any bonus gifts or free items, and if so, what are they?:
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35. Give the name of any newsletter, radio show or book club that you host:
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36. Give the web address for the media referenced above:
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37. Give the name of the second newsletter, radio show or book clubthat you host:
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38. Give the web address for the media referenced above:
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39. Give the name of the third newsletter, radio show or book clubthat you host:
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40. Give the web address for the media referenced above:
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NOTE: THE INFORMATION PROVIDED IN THE
STARRED FIELDS WILL NOT APPEAR ON THE WEB PAGE.
THIS IS PRIVATE CONTACT INFORMATION. COMPLETE
THE STARRED FIELDS IF YOU ARE A PUBLICIST, AN AGENT
OR OTHER THIRD PARTY
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41. Your first name*:
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42. Your last name*:
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43. Your e-mail address*:
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44. Your telephone number*:
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45. Your address*:
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46. How did you hear about this site?
A popular search engine
Link from another site
From a friend
Other:
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47. If you have any comments or suggestions
for this site please add them below:
Please do not send the picture of you or
your work or the sample section of your work
until requested. This e-mail system sometimes
treats multiple submissions with attachments as s*pam.
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