Submission Form

I AM AN AGENT SUBMITTING A PROPOSAL ON BEHALF OF MY CLIENT:

If “yes,” please enter your first name, last name, company, email address and phone number.

If you are the author, please skip this section and proceed to “Author Information.”

FIRST NAME:

LAST NAME:

COMPANY:

EMAIL:

PHONE NUMBER: (do not use hyphens or periods)

Author Information

FIRST NAME: *

LAST NAME: *

YOUR COMPANY NAME (if relevant to your book):

YOUR TITLE/ROLE (if relevant to your book):

ADDRESS 1: *

ADDRESS 2:

CITY: *

STATE: *

ZIP CODE: *

COUNTRY:

PHONE (do not use hyphens or periods): *

ALTERNATE PHONE NUMBER: (do not use hyphens or periods)

EMAIL: *

WEBSITE:

HOW DID YOU HEAR ABOUT US?

HOW MANY BOOKS HAVE YOU PREVIOUSLY PUBLISHED (if any)?

TITLES OF YOUR PREVIOUSLY PUBLISHED BOOKS:

PLEASE LIST THE SALES HISTORY OF PREVIOUSLY PUBLISHED BOOKS:

HOW WERE THESE BOOKS DISTRIBUTED?

About the Book:

PROPOSED BOOK TITLE:

PROPOSED BOOK SUBTITLE:

GENRE:

WHAT STAGE OF THE BOOK WRITING PROCESS ARE YOU AT?

IF “OTHER,” PLEASE SPECIFY:

WHAT IS YOUR TOTAL BUDGET FOR THIS PROJECT?

IF “OTHER,” PLEASE SPECIFY:

WHAT IS YOUR MARKETING-SPECIFIC BUDGET FOR THIS PROJECT?

IF “OTHER,” PLEASE SPECIFY:

DESCRIBE YOUR TIMELINE FOR THIS PROJECT:

Marketing:

As part of the submission process, you will submit a detailed marketing plan.
For now, please answer the following questions pertaining to your current
and future marketing efforts:

DESCRIBE YOUR TARGET AUDIENCE:

HOW DO YOU PLAN TO PROMOTE YOUR BOOK?

ARE YOU CURRENTLY WORKING WITH A PR OR MARKETING COMPANY? *

IF SO, WHICH ONE?

WHAT DO YOU HOPE TO ACCOMPLISH WITH THE PUBLICATION OF YOUR BOOK?

PLEASE PROVIDE A SHORT SYNOPSIS OF YOUR BOOK:

PLEASE PROVIDE A SHORT BIO: