Book Title (Please fill out a separate form for each title.)

Please chose your title from this drop-down list.
If your title is not listed, please contact us.

What was the dollar amount of this title our referrals purchased last month? 

Please enter 10% of the above amount here.

We list your title in one Autographed By Author category at no cost. Would you like additional category listings?  






The current rates for extra category listings are $15 for 3 months, or $50 for a year. 

Enter your requested extra categories and amounts in these boxes. It's OK to request a category that doesn't exist. We may build it for you.

Add the amounts from the shaded boxes above and include the total here.

Please record this number.
You'll need this "Calculated Contribution" later.

Thank you for maintaining this title's listing in Autographed By Author by sending this form and completing the payment process.

 

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Revised: October 31, 2000