New Author Information
Name
Address
Apt/Suite
City
State ---AL-ALABAMAAK-ALASKAAS-AMERICAN SAMOAAZ-ARIZONAAR-ARKANSASCA-CALIFORNIACO-COLORADOCT-CONNECTICUTDE-DELAWAREDC-DISTRICT OF COLUMBIAFL-FLORIDAGA-GEORGIAGU-GUAM HI-HAWAIIID-IDAHOIL-ILLINOISIN-INDIANAIA-IOWAKS-KANSASKY-KENTUCKYLA-LOUISIANAME-MAINEMH-MARSHALL ISLANDSMD-MARYLANDMA-MASSACHUSETTSMI-MICHIGANMN-MINNESOTAMS-MISSISSIPPIMO-MISSOURIMT-MONTANANE-NEBRASKANV-NEVADANH-NEW HAMPSHIRENJ-NEW JERSEYNM-NEW MEXICONY-NEW YORKNC-NORTH CAROLINAND-NORTH DAKOTAMP-NORTHERN MARIANA ISLANDSOH-OHIOOK-OKLAHOMAOR-OREGONPW-PALAUPA-PENNSYLVANIAPR-PUERTO RICORI-RHODE ISLANDSC-SOUTH CAROLINASD-SOUTH DAKOTATN-TENNESSEETX-TEXASUT-UTAHVT-VERMONTVI-VIRGIN ISLANDSVA-VIRGINIAWA-WASHINGTONWV-WEST VIRGINIAWI-WISCONSINWY-WYOMING
Zip Code
Phone Number
Email Address
What is your writing background or experience? ---High SchoolJr. College4 Year DegreeAdvanced Degree
Have you ever published a book before? Yes No
If yes, who was the publisher?
If yes, how many books were sold?
Do you have any other publishing experience? Websites Magazines Letters to the Editor Academic Journals
About your Manuscript
Book Title
Is your manuscript complete? ---Yes, it's ready to publishYes, it will be ready in 1-3 monthsYes, it will be ready in 4-6 monthsYes, it will be ready in 6+ monthsNo, I don't have one yet
Approximate number of words
Approximate number of chapters
Genre of Book Biography Children's Fiction Inspirational Non-Fiction Poetry Self-Help Other
What Format is it in? ---HandwrittenTypedElectronic Document
Paper Size ---Letter (8.5 X 11)Legal (8.5 X 14)Other
Line Spacing ---SingleDoubleOther
Font Face ---ArialTimes New RomanOther
Font Size ---89101112Other
Description of your book (50 words or less)
Do you feel that your book meets the publisher\'s requirement of Books Inspiring Virtuous Character? Yes No Unsure
Has the manuscript been edited by anyone other than the author? College-level Editor Editing Service Family or Friend Another Writer No One
Author\'s Participation Towards Marketing and Promotion
Author\'s circle of influence ---25 People100 People500 PeopleMore than 500
Do you have? Speaking Engagements Business Associates Radio Show TV Show
Are you available for book signings locally? ---YesNoWeekdays OnlyWeekends Only
Are you available to travel for promotions? Yes No
Can you afford travel expenses? Yes No
Do you have public speaking abilities? ---BasicModerateAdvanced
Have you ever been interviewed on TV or the Radio in any subject? Radio TV Never
Have you ever had a problem with stage fright or been told you use a lot of non-language, i.e. \"um\" or \"Well ...\" ? Yes No Unsure
Other Information
How did you hear about us? ---FlyerMagazineYellow PagesGoogleYahooBingWord of MouthOther Source
What are the most important things to you in choosing a publisher?
Which program is the author interested in pursuing with this publisher? Royalty Only Royalty with Author Purchase from First Printing Legacy Memoirs Get the WORD Out Program (transcription into book)
If your manuscript was accepted by Legacy Publishing, would you be willing to purchase some of the books from the first printing at a wholesale price to offset the initial cost of publishing your book(I.E. editing, formatting, cover design, registration, printing, distribution, marketing materials, etc.)? If so how many? ---100200500More than 500
COMING SOON!
*My Poems by Elvia Kirmani
*The Colors Within You
*Tuscan Wedding Tales
*Pieces of Me
*Tennessee Valley Echos
*Legend of the Dragon Gate
*They Let Me Burn
*Baseball