Book Registration Info Form

Publishing Registration

The following information is needed to complete the registration process for KDP, IngramSpark, Bowker (ISBN), and the Library of Congress. Please fill in as much as possible to get the process started.

Book title *

Book subtitle

Author name *

First

Middle

Last

Are you using a Pen Name?

Pen Name *

First

Middle

Last

List any contributing authors or coauthors here (separate multiple listings by commas)

Official book description (350 words max) *

Book category (see Amazon's category listings for assistance) *

Choose up to 7 keywords that describe your book (separate by commas)

Author phone *

Author email *

Confirm Email

Author biography *

Author URL

Author birth date *

Author mailing address *

Address Line 1

Address Line 2

City

State

Zip Code

Delivery address for shipping sample books (if different from above)

Address Line 1

Address Line 2

City

State

Zip Code

Publisher name

Publisher address

Address Line 1

Address Line 2

City

State

Zip Code

Publication date *

In what format(s) will you be publishing your book? (check all that apply) *

Paperback
Hardcover
eBook
other

Please note other format(s) not listed.

How many ISBNs would you like Mayfly to purchase on your behalf? (note: you need one for each format of your book)

None
1 ($125)
2 ($250)
10 ($295)
100 ($575)

Softcover retail price *

(list $0 if not applicable)

Hardcover retail price *

(list $0 if not applicable)

eBook retail price *

(list $0 if not applicable)

Currency *

US dollars
Australian dollars
British pound
Canadian dollars
Euro
New Zealand dollars

What platforms will you be utilizing for publishing, distribution, and/or printing? (check all that apply) *

KDP (Amazon) / Print on Demand
IngramSpark / Print on Demand
Bulk Print / Personal or Wholesaler Distribution
Other

Please note other publishing, distribution, and/or printing plan not listed above

Target audience *

Trade
Young adult audience
Adult education
College audience
Elementary / high school
English as a second language
Family
Juvenile audience
Scholarly and professional
Second language teaching

Choice of paper color *

White
Cream
N/A (eBook only)

Choice of cover finish *

Glossy
Matte
N/A (eBook only)

Other notes, comments, or questions

Attach additional file for reference here

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Allowed file formats: .png, .gif, .jpg, .doc, .docx, .xls, .ppt, .pdf, .bmp.

Name

Still Have Some Questions?

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