Work Authorization - New Clients

Name*

First Name Last Name

Email*

example@example.com

Please select what work you'd like to submit this cycle*

Group of Poems (a group consists of 3–5 poems of average length) First Round @ $449.00Short Story/Personal Essay (600–3,500 words) First Round @ $449.00Short Story/Personal Essay (3,501–5,000 words) First Round @ $499.00Short Story/Personal Essay (5,000+ words) First Round @ PLEASE CALL FOR PRICE.Group of Queries (Novel or Nonfiction) First Round @ $529.00

NOTICE: Due to market conditions, stories of these lengths are RARELY "targetable." Call us!

NOTICE: Due to market conditions, stories of these lengths are RARELY "targetable." PLEASE CALL FOR PRICE.

Note: Additional proofreading charges may apply.

Acknowledgement*

By clicking here, I acknowledge that this submission charge will appear on my invoice, which will be sent to me upon the completion of the cycle. I also acknowledge that this charge is in addition to my first cycle registration fee and (if applicable) Elite Full Service fee.

How many groups of poems would you like to submit? (a group consists of 3-5 poems of average length)*

1 group2 groups (A down payment is required for this option, PLEASE CALL FOR PRICE.)

How many short stories/personal essays would you like to submit?*

1 short story/personal essay2 stories/personal essays (A down payment is required for this option, PLEASE CALL FOR PRICE.)

How many Queries (Novel or Nonfiction) would you like to submit? NOTE: We cannot accept one work to be queried twice during the same cycle.*

1 Query (Novel or Nonfiction)2 Queries (A down payment is required for this option, PLEASE CALL FOR PRICE.)

Tell Us Your Priorities For This Billing Period (List Specific Titles or Publishers/Agents) (Type N/A if No Priorities)*

(List any specific literary agents you want us to try, list any travel dates, anything you need us to know, etc.)

Titles:*

Please indicate the titles you wish to submit.

Administrative Fees: Do you want to include 3–5 literary journals that charge nominal administrative/reading fees in your submissions for this cycle?*

YesNo

What is your total budget for journal administrative fees? *

Only full dollar amounts may be entered.

Tell Us Your Priorities For This Billing Period That Charge Administrative Fees (List Specific Titles or Publishers/Agents) (If none, type N/A)*

List any specific literary journals that charge admin fees you would like to include in your submissions (MAXIMUM 3–5 journals); otherwise we will make our best selections for you.

Do you wish to enroll in our Elite Full Service?*

With our Elite Full Service, the good folks here at Writer’s Relief will now do all of the following on your behalf: Make your online submissions; check your in-house email for responses; and make withdrawals for accepted pieces (for an additional fee, approval required).

This level of service incurs an additional fee and may suit your needs. It’s the most comprehensive service we have available. If you choose to enroll in this additional service, we will prepare and send all of your submissions for you rather than having you make the submissions on your own. You’ll have even more time to write! You may enroll in the ELITE Full Service at any time, but it’s easier if we know up front. We will charge your card upon receipt of this Work Authorization. Feel free to try a cycle on your own, and switch to Elite Full Service next cycle if you’d like. This service is also great if you’re traveling or unusually busy. If you are unable to carve out time to make your own submissions, we’re here to help. Please note: When you choose the Elite Full Service, we’ll also make any necessary withdrawals when you receive an acceptance! (Additional fees apply). Find more info at https://writersrelief.com/elite-full-service-details/!*

You must agree and check off on all statements below*

I authorize Writer's Relief to act as submission service for my writing and to perform all preparation and tracking tasks pertaining to this service. I confirm that Writer's Relief does not guarantee publication and/or agent representation.I authorize Writer's Relief to complete the following for the period of time commencing immediately and closing on or about February 15, 2023. In addition, I also agree to pay all reasonable and necessary expenses related to my work. Writer's Relief will prepare and target 25 submissions of each work to a mix of print and online markets for these prices. Also included: proofing, entering corrections if work is sent electronically, tracking, updating all files and submission lists, preparing cover letters, preparing an interactive PDF file for any online submissions, and providing online access to updated submission lists.I confirm that Writer's Relief will send submissions on my behalf and charge the card on file $250 for Elite Full Service fees in addition to my regular service fee.I also agree to email, mail, or fax all publishers'/agents' responses to Writer's Relief, Inc. on a weekly basis and to remit full payment for this authorized work and expenses by February 28, 2023.

You must agree and check off on all statements below*

I authorize Writer's Relief to act as submission service for my writing and to perform all preparation and tracking tasks pertaining to this service. I confirm that Writer's Relief does not guarantee publication and/or agent representation.I authorize Writer's Relief to complete the following for the period of time commencing immediately and closing on or about February 15, 2023. In addition, I also agree to pay all reasonable and necessary expenses related to my work. Writer's Relief will prepare and target 25 submissions of each work to a mix of print and online markets for these prices. Also included: proofing, entering corrections if work is sent electronically, tracking, updating all files and submission lists, preparing cover letters, preparing an interactive PDF file for any online submissions, and providing online access to updated submission lists.I agree to complete submissions (send all submissions to agents or editors) within one week of receipt from Writer's Relief, Inc.I also agree to email, mail, or fax all publishers'/agents' responses to Writer's Relief, Inc. on a weekly basis and to remit full payment for this authorized work and expenses by February 28, 2023.

Please sign this agreement by typing your initials here:*