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REQUEST FOR ESTIMATE FORM
DATE:____________________
NAME:__________________________________________________
E-mail:________________________________________________
ADDRESS:_______________________________________________
ADDRESS:_______________________________________________
CITY, STATE, ZIP:______________________________________
Daytime Phone Number:____________________
Evening Phone Number:____________________
Fax Number:______________________________
BOOK TITLE:____________________________________________
Number of Manuscript Pages:______________
Number of Words:______________
Word Processing Program Used:__________________________
BOOK SIZE:
5.5" x 8.5" _____
6" x 9" _____
8.5" x 11" _____
Other _____________________
COVER:
Paperback _____
Hardback, with dust jacket _____
Hardback, no dust jacket _____
No. of B/W photos or illustrations:__________
No. of color photos or illustrations:__________
Number of copies to be printed (Minimum of 50):__________
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