E-Book Distribution Consent Form
Provide your details and consent for the digital publication and distribution of your e-book.
Author/Publisher Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
E-Book Title
*
Upload Your E-Book File (PDF, EPUB, MOBI, etc.)
*
Upload a File
Drag and drop files here
Choose a file
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E-Book Description or Synopsis
*
E-Book Genre
*
Please Select
Fiction
Non-Fiction
Children's
Young Adult
Science Fiction
Fantasy
Romance
Mystery/Thriller
Biography/Memoir
Other
E-Book Language
*
Please Select
English
Spanish
French
German
Italian
Portuguese
Other
Preferred Distribution Platforms (select all that apply)
*
Amazon Kindle
Apple Books
Google Play Books
Kobo
Barnes & Noble
Other
Royalty/Payment Preference
*
Please Select
Direct Deposit
PayPal
Check
Other
Draw your signature to confirm your consent and agreement.
*
Submit Consent
Submit Consent
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