Author Name: _________________________________________

Address: _________________________________________

City: _________________________________________

ST: ________

Zip: _____________

E-mail Address: _________________________________________

Desired book dimensions (we can help you with this): _________________________________________

Manuscript word count (once we have book dimensions, we can figure your page number with this): __________

Number of photos or illustrations: __________

Will you be supplying them as tiffs or do they need to be scanned here? __________

Will you need illustrations? __________

If yes, do you want line drawings or color art? __________

How many illustrations do you think you need? __________

Will your book be standard full color cover with black and white text pages? ___________

If not, what do you have in mind for your book? __________________________________

Number of books you want printed: __________

What do you hope to charge per book: __________

The look you visualize that you want your book to have (If you need more room just attach your description with this form):


___ $50 consulting fee is enclosed as check or money order or

___ Please charge my $50 consulting fee to (MC/VISA):

CC# ___________________________________ Exp. date. _____________

Your Signature _________________________________________________

Phone__________________________

email address __________________________________________________

Send your information and materials, along with your $50 estimate fee to: Sheri Amsel, P.O. Box 84, Elizabethtown, NY 12932