Legal Name

First Name

Last Name

Phone Number

Country

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Address

For contract

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Author Name

Title of Book

One Line to Describe Your Book Concept

When Do You Want the Book to Launch?

Will the Book be in English or Spanish?

English

Spanish

Anything else You Want to Tell Us About You or Your Book?

What Service Do You Need?

Number of Pages / Illustrations

Specify if are pages or illustrations

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