Author Form

First Name

Last Name

Phone

Address

City

State

Zip

Website or Online Store

Instagram or Facebook URL

Book Title

Publisher

Retail Price

Wholesale Price

Marketing Copy and Description of Your Work

Distribution

Other outlets carrying your item(s) and all programs you've presented locally in the last 12 months

Local/National Marketing Plans

Ideas for working with the bookstore on marketing and selling your work

Consent

I authorize The Literary Hideaway to contact me via phone or email regarding this application.