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Publishing Agreement

Accurate and detailed answers to the questions will ensure a better quality final document. You will be able to come back to this page and edit your answers, change other details or omit some or all of the information. Should your local jurisdiction require additional laws and statutes and you choose not to enter it in this question page, we will print the agreement with additional space for you to fill in the information at a later time.
PUBLISHER DETAILS
Is the publisher above a company? Yes No
Publisher's Name:
Address:
City:
State:
Zip Code:
AUTHOR INFORMATION
Full Name:
Address:
City:
State:
Zip:
THE WORK
Please describe the work that will be provided by the Author:
Rights granted to publisher: Exclusive Non-Exclusive
Period length of this agreement: Unlimited
Duration of
Remainder of the copyright
Geographic coverage for this agreement: Worldwide
Restricted to
Will the author name credited on the final publication?: Yes No
MEDIA
Detail the medium(s) that the publisher can use to publish/retail the work.
Is this agreement limited to a specific media? Yes No
COMPENSATION
Would you like to include royalties and other payments in the agreement? Yes No
FINAL DETAILS
Agreement Signing Date:
Will a witness also be signing this agreement?
Use the area below to enter any other details that you would like:
(Leave blank if not needed)

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