Though this form is somewhat lengthy, the information it provides us is vital for our evaluation and possible publication of your manuscript. Thank you for being as thorough as you are able. If any questions are not relevant, you may leave them blank.

TITLE OF MANUSCRIPT (in full):______________________________________________

____________________________________________________________________________

Number of double-spaced manuscript pages:_______________

Character (including spaces) or word count:________________

Total number of illustrations:__________

Photographs (b&w):_____ (color):_____

Drawings:_____ Maps:_____ Other:____________________________

What hardware and software to you use?________________________

Does the manuscript contain any accented characters or foreign script?_____ If so, what are they, and what fonts do you use?

Is your manuscript a revised dissertation?______ If so, is your dissertation available on Proquest?______ Please list your dissertation advisors.

Have any parts of your manuscript been previously published?_____ If so, which parts, and where?

DESCRIPTION OF THE MANUSCRIPT
The description should be a 500-1,000 word summary of the content of your manuscript. It should emphasize your manuscript's contribution to its field and indicate the primary audience to which it will be addressed. If your manuscript is considered for publication, this important description will be used to solicit readers' reports and as a basis for promotional copy. Please attach your description to the questionnaire and, if possible, email an electronic copy to your sponsoring editor.

AUTHOR OR EDITOR:

Name (as it should appear on the title page):_________________________

Current position (please include your field, i.e., Associate Professor of History):
______________________________________________________________

Office address:_______________________________________________________

Telephone:_______________________ Fax:________________________________

Email:________________________________________________________________

Home address:_________________________________________________________

Telephone:_______________________ Fax:________________________________

Place and date of birth:____________________ Citizenship:________________

Education (with dates and degrees):

Previous teaching posts, lectureships, or other positions (with dates):

Published books (title, publisher, year of publication, and, if possible, approximate sales to date):

Major periodicals to which you have contributed:

THE MARKET FOR YOUR BOOK

What professional, academic, or other groups might be particularly interested in this book?

Please list courses for which the book might be used as required or supplementary text:

Please list other books that might be considered as competitors to your book:

Design models for your book, if you have any in mind:

Cover image possiblities, if you have any in mind:

Well-known people who might supply a quotation about your book for the jacket:

THE REVIEW PROCESS

Please suggest at least three persons qualified to evaluate your manuscript:

1. Name:________________________________________________________

Address:________________________________________________________

Telephone:____________________ Email:___________________________

2. Name:________________________________________________________

Address:________________________________________________________

Telephone:____________________ Email:___________________________

3. Name:________________________________________________________

Address:________________________________________________________

Telephone:____________________ Email:___________________________