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Contact Information

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First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Book Type:
Is this a novel, text book,
anthology, magazine, etc?
 Book Size: 5.5 x 8.5
5x7
6x9
8.5x11
12 x 12
 Other or Unsure
Page Count:
Cover Type: Hard Cover
 Soft Cover
Binding: Perfect (Soft Cover)
Hard Case
Plasticoil or Twin Loop
 Other or Unsure
Comments: