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Application Form
After you fill out this application form, we will get in touch with you to help you secure a spot on the Desi Divorcee Book Project. You can also contact us at andallpublishing@gmail.com or akipeed@gmail.com
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* Indicates required question
Your name
Your answer
In a few lines, what is the story of your divorce?
*
Your answer
How long has it been since your divorce?
Less than a year
Between a year and 5 years
Over 5 years
Still going through the process
Other:
How can someone benefit from your story?
Tell us in a quick line or two
Your answer
Are you comfortable using your name or would you like to do this under a different pen name?
Yes
No
Other:
Clear selection
Do you also want to become an author or are you an existing author?
Yes
No
Other:
Clear selection
Contact info
Your name
*
Your answer
Phone number
*
Your answer
E-mail
*
Your answer
Preferred contact method
*
Phone
Email
Required
Questions and comments
Your answer
Submit
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