Book Submission Please complete the form below to submit your book to TheAustinAlchemist.com. Book Submissions Application Form Submitter's Name* First Last Submitter's Phone Number*Address*This is required, but only for our use. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is this address for a residence or a business?* Residence Business Both Submitter's Email Address* Do you want your email address included in your book listing?*Use the "other" field if you want us to include a different email address in the listing. Yes No Book Title* Author's Name*Please enter the Author's name as you would like it to appear on the site. Author's Website Book Description*Please enter a 2-3 paragraph description of the book. This field is limited to 1,500 characters so write concisely.About the Author*Please enter one paragraph about the author. This field is limited to 750 characters so write concisely.Do you have any interviews, testimonials or reviews that we can include in your listing?Usually 3-4 max. Interviews must be from a news source.What one thing can your book help our readers solve? Please provide a brief statement.* Links to Purchase the Book*Please enter links in this field where people can purchase the book. If there is more than one link put each link on a new line. These links should go directly to the page where people can buy the book. For example, if they can purchase the book from Amazon the link should go directly to the page for the book, not the Amazon home page. Affiliate links will not be accepted.Cover Image*If you have an image of the book cover you can upload it here. If not, then please include another image that we can pair with your listing. Please be sure the image is square or portrait in orientation and less than 2MB in size and at least 200px wide. Please Note: *No fliers, banners or landscape images.* These are too wide to fit on our website.Accepted file types: jpg, jpeg, png, gif.Social MediaAre you on social media like LinkedIn, Facebook, Twitter or Google+? If so, please share your links here.Notes for JuliaThis is an optional space for you to include extra information that I might need for your order - information that might not be covered by the fields above. Things like special circumstances for running your ad on specific dates, etc.. I.e. "I want to pay for my order now, but have my ad run 3 weeks from now because I'm on my way out of town..." Or "I want to run this ad on the 1st Thursday of every month for the next 6 months," etc.. Put all these types of details here for me. I may call you if I have questions. (Note: you can pay for any number of weeks in the PayPal shopping basket by clicking on the number for a pull down menu and changing the default from one week to how ever many weeks you need.)Books - Advertising Fee*Local Author Book Listings are $20 for the first year, which includes the first year's annual hosting fee and then $10 for annual hosting each year thereafter. The total below reflects this pricing for the first year. Price: Annual Advertising Hosting Fee*This $10 Annual Hosting Fee is an annual fee that will be billed automatically each year on the same date until you cancel. Price: Total $0.00 NameThis field is for validation purposes and should be left unchanged. Δ
