Author Contact Information
In order to help us give your proposal the best possible consideration, please fill out the following information. Boxes marked with * are required.

Name: *
Address: *
City: *
State: *
Zip: *
Country:
Office Phone: *
Home phone:
Cell Phone:
E-mail Address:
Web site Address:
Book Information
Suggested Title: *
Suggested Subtitle:
Word Count:

1) Give a brief summary of your book. *

2) Describe your book's message, benefits, and unique qualities.*

3) Describe why readers need your book and it's message*.

4) Who did you write this book for? Who do you think your audience is?*

5) Give a brief description of yourself.*

6) What promotion and distribution opportunities do you have available for selling this book?*

7) Has this work been published before? Yes No

8) Do you have endorsements for your book?

9) How did you hear about our publishing services?
Strang Web Site
Strang Book Web Site
Charisma House book
Ad in Charisma
Ad in Ministry Today
Strang Conference
Advertising in other publication (please specify)
Advertising on Web Site (pleaser specify)
Other Conference (please specify)
Other Web Site (please specify)

Publishing Needs

If your book is not accepted by Charisma House, Siloam, FrontLine, Realms, or CharismaKids, it may qualify for co-publishing through Creation House. Are you interested in the co-publishing option? NO YES

If yes, please provide the following information:

Book trim size that you prefer:
5.5 x 8.5 (most economical)
6 x 9
4.5 x 6.5 (pocket size)
Other

Type of binding do you prefer?
Paperback (most economical)
Hardcover with printed case
Hardcover with dust jacket
Other

How many copies of your book are you willing to purchase after printing?
3,000
5,000

7,500
10,000
Other

Number of photos/illustrations:
Black & White Color

Please attach your complete manuscript as a single Microsoft Word document.
(This form will not be delivered without the attachment.)

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