Choice Publishing & Book Services Ltd                                                                                                                                                                                                                

                                                                                                                                        Barlow House,

                                                                                                                                        Narrow West Street,

                                                                                                                                        Drogheda, Co Louth

                                                                                                                                        Rep of Ireland

                                                                                    

                                                                                                                                        Tel: ++353 (0)41 9841551

                                                                                                                                        Fax: ++353 (0)41 9841551

                                                                                                                                        Email: info@choicepublishing.ie

                                                                                                                                        Web: www.choicepublishing.ie

 

           Book & Author Information Form                 

 

 

Name of Author:  __________________________           Date: _________________

 

I, the Author, by ticking the relevant box below, herby select the corresponding option.

 

  All Inclusive Package (€1995.00)                  Gold Package (€1750.00)

  Silver Package (€1395.00)                                Basic Package (€ 990.00)

  Full Colour Picture Book (€ 1395.00)          E-Book Only Package (€ 399.00)

 

Author Information:

 

Legal Name of Author: _______________________________________________

 

Date of Birth: _______________________________________________________

 

Title of Work:  ______________________________________________________

 

Any additional names appearing on the title page:  _________________________

 

Address:  ___________________________________________________________

 

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Telephone Number:  __________________________________________________

 

Mobile Number:  _____________________________________________________

 

Email Address:  ______________________________________________________

 

Book Information:

 

Book Title:  _________________________________________________________

 

Desired Final Size:  ________________________Retail Price _________________

 

Approximate Number of pages:  _________________________________________

 

Binding Type:  _______________________________________________________

 

Type of Book & intended audience:  ______________________________________

 

 

 

 

 

Choice Publishing and Book Services

Book & Author Information Form  - Page 2               

 

 

 

Web Page Information:

Keywords/Phrases a potential customer might use while searching your book on the Web:

 

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Your Full book description:

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Tell us about you, the author:

 

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Please choose sample excerpts from your book for your book’s webpage:

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