CLIENT INTAKE FORM
Name
*
First Name
Last Name
Email Address
*
example@example.com
Is your manuscript complete?
*
Yes
No
What kind of book do you want to publish?
*
Children's
Young adult
Adult
Have you ever published a book before?
*
Yes
No
If so, how many times?
When was the last time?
Do you need illustrations for your book? This does not include the book cover.
*
Yes
No
If so, how many illustrations?
How many pages is your book?
*
Are you familiar with the self-publishing process?
*
Yes
No
How did you hear about us?
*
Submit
Should be Empty: