Author Application Form
**THIS IS NOT A CONTRACT, THEREFORE THERE IS NO FINANCIAL OBLIGATION***

Welcome! Thank you for your interest in partnering with Jai Publishing House to publish your book. Please note that all responses are password-protected and kept confidential.

The preliminary information provided in this assessment will be carefully reviewed and considered by the Jai Publishing team to determine if your work will be a good fit for the overall objective and our company mission. If you have not done so, please review the "Publish With Us" page on our website at www.jaipublishing.com prior to completing this application.

Complete in its entirety. Incomplete applications will not be considered.

Please allow up to 48 hours after submission for our team to review your application and respond with the next step of scheduling a 30-minute consultation appointment. Again, thank you for your interest and we look forward to serving you!
First and Last Name *
(as you want it to appear on the book cover)
Your answer
Email Address *
(one that you check regularly)
Your answer
Phone Number *
Your answer
Social Media Handles (Facebook, Twitter, Instagram)
Your answer
Short Biography (2-3 sentences to describe who you are and what you do) *
Your answer
Title of Book/Main Idea (does not have to be concrete, but a good starting point) *
Your answer
What is your overall objective/goal in publishing your book at this time? *
Your answer
When do you aspire to get started with writing your story or publishing your book project? *
Your answer
What are some important factors to you that aide and assist in your decision-making process in choosing a publishing company? *
Your answer
Which publishing package are you interested in? *
Please select payment option. (First payment due upon signing of contract) *
How did you hear about Jai Publishing House?
Your answer
Referred by:
Your answer
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