Publisher Form

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	If you are a Publicist / Publisher / Publishing House, or Author:

Would you like to have your Christian book featured on our site (check for our current reviews), then please submit the following form to us and we will send the book to our reviewers.

We also offer other great promotional opportunities on this site, that will enhance the visibility of your book and / or author.

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After reviewing the data in the form we will send you our mailing address and other valuable information.

Please provide the following contact information:

None of the information will be provided to third parties at any time, and is only used as contact information

Publisher:

Your Title - &

First- Last Name:

Street Address:

Address (cont.):

City:

State/Province:

Zip/Postal Code:

Country:

Work Phone
10 digits, no period

secondary phone

10 digits, no period

your e-mail address:

Homepage URL: not required

This form must be filled out completely in order for us to communicate with you

What is the title of the book(s) you would like for us to review?

Who is (are) the author(s) of the book?

ASIN or ISBN

I agree to send the above mentioned book at no cost to a mailing address provided by Spirit Restoration Ministry, Inc. (SRM) once the information of this form is received by SRM and SRM sends notice to the applicant of this form. SRM will forward the publication to a reviewer of Spirit Restoration Ministry. In most cases the content of the book will be graded on a scale from one to five. (five being the highest) Spirit Restoration Ministry, Inc. assumes no liabilities about the rating or the review and its consequences. SRM reserves the right to reject any book without notice and validation of rejection.

I have read the covenant and I agree to the terms of the covenant

Yes No

Tell us about the author(s) in a brief bio form that we can publish at the end of our review:

After you clicked on the "Submit Button" you will receive instructions how to mail your book to us.

Publisher:
Your Title - & First- Last Name:
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Country:
Work Phone 10 digits, no period
secondary phone 10 digits, no period
your e-mail address:
Homepage URL:	not required

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