EyeSeeMe Book Submission Form
Author Name *
Your answer
Email Address *
Your answer
Contact Number *
Your answer
Book Title *
Your answer
Website/Amazon link to purchase book *
Your answer
Book Category *
Required
Book Theme (ex: Empathy, Animals, Sports add up to 5) *
Your answer
Book Format *
Required
Suggested Retail Price *
Your answer
Publication Date *
MM
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DD
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YYYY
Date book mailed to Books Exposed *
MM
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DD
/
YYYY
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