EmailMe Form - New Author Pre-Qualification Form

New Author Pre-Qualification Form

We are grateful for your interest! We want to publish you.

To do so, we ask first that you provide the following information.
Please complete this questionnaire and send directly to glen.aubrey@ctrg.com.

Please note that your work answers will be reviewed. If we believe we can publish you we will certainly let you know of our interest and desire to see more of your work. We will also let you know if we believe we cannot publish you. We reserve the right to accept or reject any author’s contributions.

Date of Completed Form Submission:
MM / DD / YYYY
Your Full Name
First Last
Title of your book(s) or working titles:
Written Form in which your book(s) is/are now: MS Word, other:
Is your work copyrighted, and if so, what year(s)?
Do you agree with the business plan as presented?
Yes
No
Fiscal Responsibility: If you are the author/copyright owner, and you and CTP agree to work together to publish your work, do you agree to provide necessary funding as shown?
Yes
No
In less than 300 words, what are your main themes/topics? What are the moral beliefs and ethical standards you wish to portray in your writing? What do you desire to say?
Email address, primary:
Email address, alternate:
Contact phone number:
### - ### - ####
Alternate Contact phone number:
### - ### - ####
Complete USPS mailing addresses, including Zip Code:

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

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