Book Publishing – Questionnaire

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Book Publishing

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Please provide an email address and phone number that is not already used to register an account on the platform.

Your Full Name: *

Pen name (name that you want your book to be published with)

Email Address: *

Please provide an email address and phone number that is not already used to register an account on the platform.

Email *

Password

Country or Region:

Date / Time

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone:

Provide your bank information to receive electronic royalty payments.
Where you would like to receive your royalty for the published books.

Account holder name:

Type of account (Checking/Savings):

Account Number:

Routing number:

Name of bank:

Bank Location/Address:

International Wires number (Optional):

BIC/SWIFT code (Optional):

What is your tax classification?

Individual
Business (If you are a business kindly select your federal tax classification below)

Kindly select your federal tax classification below

C Corporation
S Corporation
Partnership
Trust/Estate

* Note: "Individual" includes Sole Proprietors or Single-Member LLCs where the owner is an individual.

Full name (As shown on your income tax return):

Country of citizenship:

Permanent address:

Mailing address:

Taxpayer Identification Number (EIN):

SSN Number:

Provide the Tax ID issued to you by your country of tax residency I have a U.S. TIN:

*Why am I asked for U.S. TIN? By providing a valid U.S. TIN, you may be eligible for a reduced withholding tax rate.

Book Genre/Category:

Book Title:

Book Subtitle:

Book Description:

About the Author (Description):

Target Audience *

with Suggestions) /

Keywords (7 Keywords related to your book):

eBook Price:

Paperback Price:

Hardcover Price:

ISBN Number (if any):

ISBN Imprint (if any):

Is there a subtitle for the book?

Yes
No

Are you using a pen name or publishing with your real name?

Kindly provide a small intro for the Author

What font would you like us to use for the Main title? (Any Suggestions)

Do you have an ISBN for the book?

Yes
No

Is your book registered with the library of congress?

Yes
No

info@wizpublishing.com
+1 (888)-969-3794
477 Madison Ave #6th floor New York, NY 10022