Apply for author/publisher membership

Your name: *

An email address where the administrator of this website can contact you: *

Your pen name if any:

Your author email address:

Name of your publishing company: *

Your publisher email address:

Year you started your publishing company: *

How many of your own books have you published?:

How many books by others have you published?:

Are you open to submissions?: *

What formats do you publish?:

Please check all that apply.

Have you published your books through another publisher?:

If you publish using POD, which printer do you use?:

Lightning Source

CreateSpace

Lulu

Other

Your publisher website:

Your author website:

Your blog:

Your Facebook page(s):

Your MySpace page(s):

Your twitter username:

Your bio:

This bio will appear on your author page.

Your picture:

Your picture will appear on your author page.

Would you like a contact form on your author page?:

Yes

No

A contact form will allow anyone viewing the website to send you a message. If you would rather not be contacted by other members of this site or by members of the public, select No.

Why did you choose to self-publish?:

Our Authors