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There are many factors to be considered when a publisher makes a commitment to publish and market a book. These considerations exceed the simple question, Will the book sell? Please help us to gather the necessary information by answering the following questions as thoroughly as possible and then submitting this form.

All of the following fields are required. If any are left blank we cannot process your request, so please double-check to make sure all the fields have been filled in. The form will not be accepted if any are left blank.

Most Fields Required

About You

Author Information

First Name:
Last Name:
Email Address:
Daytime Phone:
Cell Phone (Optional):

How did you find Destiny Image?

If you were referred by a Destiny Image author, please tell us who:

Mailing Address

Street Address:
City:
State:
Zip/Postal Code:
Country:

About Your Book

Book Title:
What is the current word count of your manuscript?
Book Summary (2000 Characters Max):
Table of Contents:
Sample Chapter:
What qualifies you to write this book?
What will the reader learn by reading your book?
What makes your book unique from all other books currently on the market?
Are there ancillary products available for your book?
Select all that apply.
DVDs
Videos
CDs
Cassette Tapes
Study Guides or Devotionals
Other Products
Which categories apply to your book? Select all that apply.
Kingdom Living/Teaching
Spiritual Growth/Christian Living
Relationship
Marriage
Bible Prophecy/End Times
Prophetic Equipping/Teaching
Worship
Prayer and Intercession
Dream Interpretation
Current Events or Pop-Culture
Health and Wellness
Inspiration/Meditation
Poetry
Personal Testimony
Fiction
Bible Study
Devotional
Christian History
Angels and Other Supernatural Experiences
Single Living
Revival/Moves of God
Young Adult Topics/Youth Ministry
What are the major themes or factors within your book that will appeal to readers?
What is the target audience for your book?

What type of person do you think will benefit from your book the most?
What is your chief reason for wanting to write this book?
Why did you choose Destiny Image to submit for publication?
Is your book finished?
Yes
No
If unfinished, when will it be completed?
Is this book part of a series?
Yes
No
Do you have other books or subjects you want to write about?
Yes
No

About Book Marketing

What is your current circle of influence? Include ministry affiliations, key individuals, local churches, bookstores, and other people groups.
What is your international circle of influence or activity?
Of the individuals you've listed in the two fields above, who do you know that would endorse your book?
Do you have personal contacts for radio, television, or journal exposure?
Yes
No
Please list your conference or public speaking appearances over the next 12 months as well as those in the past 12 months.
How many books will you or your ministry need in the first year of publication?
Have you written other books?
Yes
No
If yes, please list the names of your other books and what other publishers you have worked with in the past. If you self-published a book, list that as well.


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