Author Publishing Application

Author Publishing Application

CoolBird Publishing House
Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
How can we help you?*
If you have started, how many pages do you have?*
If you have started, what is the word count?*
What is the name of your book?*
Is it fiction or non fiction?*
Tell us the purpose for writing your book?*
How do you hope your book will impact readers?*
Who is your message for (your target audience)?*
When do you want to have your project completed?*
Who is your target market and how do you plan to market your project?*
If you are chosen to publish your project, will you be able to attend new author orientation?*
Book Proposal: What is the status of your project?*
Should be Empty: