This information will be used to create your affiliate author folder.
PEN NAME: MO. YEAR: BOOK TITLE:
FIRST NAME: LAST NAME: EMAIL ADDRESS: PHONE 1: - - PHONE 2: - - ADDRESS: CITY: STATE/PROVINCE: ZIP/POSTAL: COUNTRY: LIST ALL BOOKS YOU WOULD LIKE TO PUBLISH WITH US AS EBOOKS [Be sure you hold the publishing rights to all the titles listed.] LIST YOUR OTHER BOOKS THAT ARE IN PRINT & UNDER CONTRACT