Pigeon House Board of Referrals

IF YOU CAN NOT CLICK THE BOXES WITH THE YES OR NO QUESTIONS OR USE THE HIGHLIGHTER AVALIABLE INSIDE ADOBE OR PDF FILLER.
First Name
Last Name
Email
example@example.com
Address

Street Address Line 2

Street Address Line 2

CityState / Province

Postal / Zip Code
City
Phone Number
WHAT IS THE NAME OF YOUR AGENCY?
IS THIS YOUR FIRST SUBMISSION REFERRAL TO PIGEON HOUSE?

YESNO
WOULD YOU RECOMMEND THIS BOOK TO ANY OTHER AGENCY?

YESNO
WHO IS THE WRITER AND DO THEY HAVE ANY OTHER WORKS IN PRINT?
WOULD YOU SAY THIS BOOKS IS PUBLISHABLE?

YesNo
DO YOU FEEL THIS BOOK IS A GOOD FIT FOR PIGEON HOUSE?

YESNO
DO YOU THINK THIS BOOK WILL SELL?

YESNO
IF SO, PLEASE GIVE ME A SALES ESTIMATE
DO YOU THINK THIS WRITER WILL PUBLISH JUST ONE BOOK EVERY COUPLE OF YEARS?

YESNO
DO YOU THINK THIS AUTHOR IS CAPABLE OF WRITING MORE THAN A FEW BOOKS A YEAR?

YESNO
DO YOU THINK THIS WRITER IS READY FOR PUBLICATION?

YESNO
WHICH AUTHOR WOULD YOU COMPARE THIS WRITER'S WORK TO?
WHAT DID YOU LIKE ABOUT THIS BOOK?
WHAT DID YOU NOT LIKE ABOUT THIS BOOK?
IS THERE ANYTHING ELSE THAT YOU WOULD LIKE TO TELL ME ABOUT THIS REFERRAL?
WHAT WOULD YOU RATE THIS BOOK?
Should be Empty: