Agent or Publisher Research Order Form

Your full name*
Email*
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Please choose which service/tier you are interested in:*
(Answer only if ordering a publisher list). If you are ordering a list of publishers, should we (if necessary to reach a total of 10) include those that are digital-only or that offer print-on-demand services in order to fill out your list?
What is the category of your work?*
Working title of your manuscript:*
Approximate word count of your manuscript when complete:*
List 3-5 book titles that you would expect your work to sit next to on a bookstore shelf.*
Please provide at least 5 (and no more than 10) keywords that characterize your work.*
Please provide us a list of any agents, agencies, or publishers to whom you have already submitted your book project.
If possible, for each agent please include the following information: agent name; agency name; date of query submission; and date of MS request, rejection, or no response
Upload your submission materials (up to three documents), e.g. a cover/query letter, book proposal, and/or synopsis:
Drop files here or

Accepted file types: doc, docx, pdf, jpg, gif, png, Max. file size: 256 MB, Max. files: 3.
If for some reason you are having trouble uploading documents via this form, please fill out the rest of the form and submit it. We will get in touch with you and discuss how to submit your documents to us.
Answer only if ordering a hybrid publisher list:
Please describe the following: 1. The kinds of services you are seeking from a hybrid publisher (marketing, printing, etc.) 2. Your ideal budget range