Cover Design Request

Please fill out this form as completely as possible with the information you have available at this time.

Publisher name:    
Contact name:    
Phone: Fax:
Shipping Address: City:
State: ZIP:
E-Mail:    
       
Title of book:
Sub Title:
 
Author's Name:    
ISBN #:    
Registration Service Needed: ISBN CIP Copyright
       
 Price (US)   Price (Canada)
Genres/Categories:  
Book Trim Size:   Hard Cover Soft Cover    Spine Size:
Artwork or photos:
       
Printer's Name: Phone:
Printer's Deadline:    
Catalog Artwork Deadline    
Text

Endorsements or additional cover text available
Approval of back cover text available

Anticipated Design Level

Essential — design of limited complexity, concept and art/photos provided by client.
Accomplished — moderate complexity, collaboration on concept, image research and custom
      treatment.
Superior — elaborate design, research and development, custom illustration, and digital manipulation.