Miss Nina Publisher Interest Form
Email address *
Name: *
Your answer
Phone Number: *
Your answer
Which package are you interested in? *
Book Information
Book Title: *
Your answer
Publisher:
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Book Publication Date:
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DD
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YYYY
Preferred Lesson Plan Upload Date:
Do you need it in time for a launch or are you trying to meet a specific deadline?
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DD
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YYYY
Link to book's information on the Publisher's Website:
Your answer
I'd love to hear about your other promotional plans for the book including launch parties, tours, etc.:
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Any other information I should know?
Reviews or blog press you'd like to share? Any other links you want me to see? Thoughts or ideas about the potential lesson plan?
Your answer
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Miss Nina LLC.