Book Sales at the Women in Healthcare World Congress - follow up
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Title of Book
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Cost of book (We will reimburse you for the cost of the book, less the 3% processing fees)
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I will bring the books to be sold at the AMWA merchandise table. I will pick up unsold books before the end of the meeting.
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Yes
Please upload an image of the book
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Browse Files
Drag and drop files here
Choose a file
Cancel
of
I would like to donate a copy of my book to the meeting raffle.
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Please Select
Yes (please drop copy off at the AMWA table)
No thank youl
Number of copies already left with AMWA to continue to sell (Put n/a if not relevant)
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Number of copies you would like AMWA to continue to sell. We can buy the books off Amazon and help your numbers there or books can be shipped book rate to Eliza Chin, 120 Bell Avenue, Piedmont, CA 94611) - max: 5 books per author. If you email the weight of the box and box dimensions to admin@amwa-doc.org, we will send you a shipping label for USPS book rate. (put note Amazon or label needed - n/a if not relevant)
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Total Amount owed to author (excluding purchases AMWA will make on Amazon)
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Address for sending the check
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: