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Book Cover Design Request Form
Fields marked with an asterisk (*) are required.
However, more fields must be completed
*Name : *Email : Request for Cover Design only: Yes No *Address (street): *City, State, Zip Code: *Country: What is the title (or tentative title) of your book?: *Description of your book?: Category : Fiction None Fiction Are you the Author?: yes No If no, Author's Name : Are you self-publishing your book?: Yes No Do you have an idea or a picture for your cover?: Yes No What is the finished size of your book? (w x h) (example: 5.5x8.5, 6x9, 8.5x11): Dateline for design job (Dateline): Comment / Questions:
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