Authors Questionnaire

Author Name (as it should appear on the book cover):
Name you go by if different than your pen name:
Title or Designations:
Address:
City:
State:
Zip:
Home Phone: --
Fax: --
Email:
Cell Phone: --
BIOGRAPHY:
One-paragraph biography of yourself. Be sure to mention any advanced degrees you may have and any organizations or affiliations you are a part of that could potentially be a marketing avenue for your book. *Photocopies of your diplomas are only necessary if you are writing a book which falls within the area of your expertise.
TITLE OF BOOK (in full):
IS YOUR BOOK COMPLETE?
If no, how much longer do you think it will take you to complete it?
Estimate number of: pages: Photographs: B&W: Color: Drawings: B&W:
Color: Maps: B&W: Color: Other:
Other special inclusions or details:
SIGNATURE: I have read this questionnaire and have answered its questions honestly and as completely as possible.
Author Signature:
Date:
Please type the numbers/letters below into the empty box.
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