| *Author's Name |
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| *Street Address |
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| *City, State, ZIP |
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| *Country |
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| *Phone Number |
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| FAX Number |
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| Email |
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| *Title and Subtitle of the proposed Book |
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| *Proposed Page Count |
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| *Table of Contents |
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*Please describe your proposed book using 200 words maximum.
Please indicate whether your book is completed, or, if not completed, your proposed date of completion. |
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| In addition, please list any possible ideas for illustrations or photographs to be included in your book. |
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| *Who is your targeted audience? |
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| *Please include a brief Biographical paragraph about yourself,including your qualifications as an author or editor |
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| *Please provide a list of previous publications |
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| *Please list 3 or 4 similar or competing books including the title,author, publisher, and the Pub. date |
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| *Please write a paragraph about what makes your book special or complementary to the above titles |
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| *Security Phrase |
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| The security phrase ensures that a person is clicking submit and not an automated system. |
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