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Manuscript Submission Form
Your information
Name:________________________________________________________________________
Address:______________________________________________________________________	
City:___________________________________________	State:___ Zip:__________________
Website:_______________________________ Email:__________________________________

Manuscript information
Title of Manuscript:_____________________________________________________________
Fiction:____ Nonfiction:____  Memoir:_____ Poetry:_____ Other: _______________________
Description:____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Background information
List other published works, if any:
Title:_________________________ Publisher:_____________________________ Year:______
Title:_________________________ Publisher:_____________________________ Year:______
Title:_________________________ Publisher:_____________________________ Year:______
Has any of the material in your manuscript been published before?________________________
Do you have rights to all materials in your manuscript (i.e., quotations, photos, etc.)__________
Has your manuscript been professionally edited?________ Proofread?________