Author Name *

Book Title *

Romance Subgenre *

Is your book a novel or novella? *

Available formats *

Will you provide media kit? *

Giveaway Included? *

Preferred Reviewer *

Is this book part of a tour? *

If book IS part of a tour, please provide the tour company info *

Do you require your book to be read by a certain date? If yes, please include date *

Last but not least, please provide us with all of your contact information so we may get in touch with you *