Book Cover Request Form

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Name *

Email *

Please select which best describes you. *

I am a publisher contacting MW Design on behalf of the author

I am the author representing myself

I am an agent/assistant contacting MW Design on behalf of the author

How did you hear about MW Design? *

Friend/Referral

Instagram

Facebook

Twitter

Other

Genre - please use industry standard genres *

Is your book fiction or non-fiction? *

Fiction

Non-Fiction

Is this book going to be part of a series? *

Yes

I'm not sure (explain below)

Is this book cover a redesign of a currently published book? *

Yes

How are you planning to publish? *

eBook

Both

If you are planning to publish in print, who do you plan to use for printing?

Create Space/Kindle Direct Publishing

Lightning Source

Ingram Spark

Other - explain below

If you are planning to publish in print, do you plan on printing in hardcover or paperback?

Hardcover

Paperback

Both

Clear selection

Do you need your cover by a specific date? If so, please indicate a date below.

YYYY

Do you own specific artwork you want to use on your cover?

Yes

Clear selection

Is there any additional information that you would like to add? Or do you have any questions for me right away?

What happens next. . .

Send an email to mdabooks.publishing (at) gmail (dot) com if you don't get a response from me within a few days.

My working hours are 10 am - 5 pm Monday through Friday MST. If you send your email Friday evening or on the weekend, please allow until Monday evening for a response. I look forward to hearing from you!

Once I receive the Book Cover Request Form, I will get in touch with you about whether or not I need more information to give you an exact quote.

Additional information (not required)

It is not required for you to provide the following information at this time, but if we decide to work together, I will need this information when we move forward, so please have it prepared.

**500 - 1,000 word description of your novel (500 words for nonfiction books). This needs to be a summary of the entire plot, including spoilers, themes, etc.

**Main character descriptions

**2-3 examples of existing book covers you feel represent the type of cover you're envisioning

**Trim size for print

**Page count after your manuscript has been formatted for print

**Cover copy (book description) you want displayed on the back cover

Submit

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