We appreciate your careful attention in completing this form. This information will be useful to us throughout the publication process; our marketing department will also contact you later with further questions. If your book has more than one author, please combine your responses onto one consolidated form. Please type your responses directly into the form and return via e-mail. Do not send handwritten questionnaires.

Date of completion of questionnaire:

Title of Book:

Editor’s Name (as you wish it to appear in book):

Citizenship:

Addresses:Please indicate your preferred address for royalties, and include a street address to which courier deliveries can be made.

Home Address:
Home Tel.:
Cell:
Email: / Work Address:
Work Tel.:
Fax:
Email:

Author website, if applicable:

Date of birth (needed for Library of Congress CIP data):

Education:

Degree / University / Date

Career: Please list significant dates and positions.

Previous books by the author:

Periodicals in which your work has been published:

Related books: Please list author, title, publisher, and publication year of related books, including any that might be considered competition to your book.

Target audience: Who is the intended audience for this book? Please list specific groups and organizations that will be interested in the book, and provide contact information wherever possible.

Sales points: List 3 to 5 highlights of the book, including the features that make it unique and appealing to buyers.

Exhibits: List workshops, conventions, or seminars where your book might be exhibited. Note meetings that you will attend, and list approximate dates of all meetings.

Short author bio: Please write a two- or three- sentencebio.

Short summary of the book: Please write a one- or two- sentence description.

Long summary of the book: Please write a 250-word (2- or 3-paragraph), jargon-free description of your book. (See our online catalog <> for examples of book descriptions.)

Key quotes: Please provide three to six key quotes from the subject that are included in the volume and could be used on the back cover.

Cover photo suggestions: Please provide information on a possible cover photo, with details on any necessary permissions. Note that UPM has a standing agreement with Photofest, so that can be checked as a source. We prefer head shots where possible.