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2. Name
3. Email Address
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
12. Official Website
14. Best way to contact you:

    1. Phone
    2. Email
18. Book Title
19. ISBN
21. Publisher
22. Date Published
    Date Published
24. Genre
25. Audience
26. Book Type
    -- Select One --FictionNon-Fiction
28. Book Summary
30. Link to book

    Link to book (i.e. Amazon, Barnes and Noble, independent distributor, etc.)

32. Submit another form for additional published books you would like to include.

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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

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