| OUR TITLE/AUTHOR |
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Title:
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Mr, Mrs
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Author/Illustrator:
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Jon
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First Published In:
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Jon
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First Published By:
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Jon
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Original Publication Date:
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Jon
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Please list the page numbers, the edition, and the first and last sentences or lines of the requested material, or describe any images:
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Jon
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| YOUR CONTACT INFORMATION |
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Your Name:
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Jon
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Position:
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Jon
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Company:
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Jon
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Address
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227 Langham Road 215 Langham Road London, Jon N15 3NB Map It
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Phone:
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London
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Email
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@
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| YOUR PROJECT’S DETAILS |
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Project's Title:
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Mr, Mrs
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Project's Author
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Jon
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Publisher:
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Jon
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Description:
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Jon
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Format(s) of distribution (Please check all that apply)
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- Print
- CD-Rom
- Audio
- Verbatim E-Book
- E-book in a Database
- Website
- Other, Please explain
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Other format explanation:
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Jon
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Type of use (Please check all that apply):
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- Trade
- Educational
- Non-profit
- For-profit
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Estimated publication/release date:
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Jon
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Language:
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Jon
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Territory of distribution:
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Jon
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Estimated total print run/number of end users for life of project:
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Jon
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Estimated publication price:
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Jon
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Approximate number of additional selections not in the public domain to appear in publication:
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Jon
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If you would like us to include your internal project ID on correspondence, please provide it here:
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Jon
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| Audio: |
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Please specify the mode(s) of distribution (i.e. CD, cassette, etc.)
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Jon
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Will the recording be single-voiced? If no please explain:
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Jon
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Will the recording be non-dramatic? If no please explain:
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Jon
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| Website: |
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URL:
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Jon
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Will the posting be non-dramatic and non-interactive? If no please explain
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Jon
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Will the posting be password protected? If no, please explain:
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Will the website be read-only or print-enabled? If print-enabled, please specify the estimated print run:
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Jon
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| Database |
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Will the database be non-dramatic and non-interactive? If no please explain
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Jon
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Will the database be password protected?
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Purpose of database:
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- educational electronic access
- the creation of custom versions
- other (explained below)
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If other, please explain:
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Jon
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Is the database funded from sources other than the sales of individual copies of the work?
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Jon
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If your database creates custom versions, please list the formats of such versions:
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Jon
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Estimated number of total print run (above) that will be such derivative versions:
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Jon
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| Any additional comments: |
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Jon
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