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Local & Independent Author Event Request
Basic Information
Email address *
Author's Name *
Your answer
Author's Pen Name (if applicable)
Your answer
Author's Representative Name (if you are submitting for an event on the author's behalf)
Your answer
Phone number *
Your answer
Book title *
Your answer
ISBN *
Your answer
Book Format *
Publisher *
Your answer
List price *
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Date of Publication
Your answer
Website/Link
Your answer
Would you be interested in having your book carried on consignment in Book Revue's Local & Independent Authors Program? *
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