Author Sign Up

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Enter Author Information
Username = Email Address *Availability Check
*This Field is required
Confirm Email Address * *This Field is required
First Name * *This Field is required *Enter Valid Name
Middle Name *Enter Valid Middle Name
Last Name * *This Field is required *Enter Valid Last Name
Pen First Name *This Field is required
Pen Middle Name
Pen Last Name *This Field is required
Click this box to revert to Pen Name in Author listing
[Phone number and address will not be published]
Mailing Address * *This Field is required
P.O.Box *Please Enter Valid P.O.Box Number
City * *This Field is required*Value Must Be Alpha or Alpha-Numaric
State * *This Field is required*Value Must Be Alpha or Alpha-Numaric
Zipcode * *This Field is required *Please Enter Valid Zipcode.Format is 00000-0000.
Phone Number
xxx xxx xxxx
- -
*This Field is required *Please Enter Valid Phone Number
Mobile Number
xxx xxx xxxx
- -
*Please Enter Valid Number *Please Enter Valid Mobile Number
Website * *This Field is required *Enter Valid Website.
Blog *Enter Valid Blog.
Password * *This Field is required
Confirm Password * *This Field is required
Author Image
Biography characters left
Are you available for speaking engagements and events?
Enter Book Information
Book Title * *This Field is required
Book SubTitle
Brief Description * characters left *This Field is required
Publisher * *This Field is required
Distributor
Genre **This Field is required
Book Trim Size *
Height X Width
inches
inches
*This Field is required *Please Enter Valid Book Trim Size
Book Format
Hardcover *Please Enter Valid Cost of Book
Paperback *Please Enter Valid Cost of Book
Ebook *Please Enter Valid Cost of Book
Audio *Please Enter Valid Cost of Book
Other *Please Enter Valid Cost of Book
  
Number of Pages * *This Field is required *Please Enter Valid Number of Pages
Please provide a link to one source for your book. This can be your website, the website for a local bookstore that sells your book, or an online source, such as Amazon
Book Cover
5 keywords or phrases for searches *
*This Field is required
*This Field is required
*This Field is required
*This Field is required
*This Field is required
Contact Author – would you like to have readers contact you directly?
Level of Membership



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