Author Info
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Email address
Full Name
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Preferred Author Name
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What ability status do you identify with? (list all that you wish to voluntarily share, if any)
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ZIP code (if outside USA, please state your country)
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Phone Number
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Your Personal Website (if you have one)
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How did you learn about us and what made you reach out to INCLUDAS Publishing?
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What is your ideal book publishing 5 year dream?
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