Cover Design Request

Please fill out this form as completely as possible with the information you have available at this time.

Publisher name:
Contact name:
Phone: Fax:
Shipping Address: City:
State: ZIP:
E-Mail:
Title of book:
Sub Title:
Author's Name:
ISBN #:
Registration Service Needed: ISBN CIP Copyright
Price (US) Price (Canada)
Genres/Categories:
Book Trim Size: Hard Cover Soft Cover    Spine Size:
Artwork or photos:
Printer's Name: Phone:
Printer's Deadline:
Catalog Artwork Deadline
Text

Endorsements or additional cover text available
Approval of back cover text available

Anticipated Design Level

Essential — design of limited complexity, concept and art/photos provided by client.
Accomplished — moderate complexity, collaboration on concept, image research and custom
treatment.
Superior — elaborate design, research and development, custom illustration, and digital manipulation.



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