WARWICK ASSOCIATES

General Response Form

Please describe yourself (check as many as apply):

Author Publisher (U.S.) Publisher (non U.S.) Self-Publisher

Other

Contact Information:

Name

Address City

State Country Zip Code

Telephone Fax E-mail

Website

For Authors

Do you have a manuscript? Yes No

Do you have a publisher? Yes No

If yes, do you wish assistance with contract negotiation? Yes No

Do you have a printed or published book? Yes No

Do you want to find a publisher? Yes No

If yes, would you like to use our literary agent services? Yes No

Do you wish to explore self-publishing option? Yes No

What is the genre of your book?

Publication date (if applicable):

Brief description of book/manuscript:

Previously published titles (include title and publisher):

Brief author bio:

For Publishers

Number of titles in print: 0-10 10-20 20+

Number of titles to be published this year: 0-10 10-20 20+

Check the areas of publishing support that you are most interested in:

Editing Publishing Plan U.S. Representation Book Production Marketing On-line sales Publicity Distribution Author Tours Author Website Foreign Sales Sale or Purchase of Company

Additional Comments: