FULFILLMENT APPLICATION FORM

Before you fill out this form read the descriptions for our Option plans.

Company Name:
Address:
 
City:
State:
Country:
Zip:
Phone: -
Fax: -
E-mail:
Web Site:
Contact Name:
Payments (to publisher) - Pay to the order of:
List Items on Website: YES     NO

Book Title #1:
Subtitle:
Author:
ISBN (13 digit)#:
Number of Pages:
Hard or Soft Cover:
BISAC Code 1:
Find BISAC Codes here ex: FAM050000
BISAC Heading 1:
ex: FAMILY & RELATIONSHIPS / Babysitting, Day Care & Child Care
BISAC Code 2:
(optional) ex: FAM0120000
BISAC Heading 2:
(optional) ex: FAMILY & RELATIONSHIPS / Children with Special Needs
Publication Date (mm/dd/yy):
Price - List: $
Dimensions (if available):
Weight (if available):
Carton Count (if available):

Book Title #2:
Subtitle:
Author:
ISBN (13 digit)#:
Number of Pages:
Hard or Soft Cover:
BISAC Code 1:
Find BISAC Codes here ex: FAM050000
BISAC Heading 1:
ex: FAMILY & RELATIONSHIPS / Babysitting, Day Care & Child Care
BISAC Code 2:
(optional) ex: FAM0120000
BISAC Heading 2:
(optional) ex: FAMILY & RELATIONSHIPS / Children with Special Needs
Publication Date (mm/dd/yy):
Price - List: $
Dimensions (if available):
Weight (if available):
Carton Count (if available):

If you have more books, submit this form, then fill out another form. On extra forms, only fill in Company Name and book information.

Option #:
1 = Total Fulfillment including stocking
2 = Credit Card Processing/Order Taking Only

Do you want us to ship your book(s) to Bookstores or Resellers: YES     NO
If you answer yes we will contact you about discount rates/commissions.

If you want your title(s) listed on our website please send the following for each title to fulfillment@bookch.com:
    1. Cover image in jpg, bmp, or gif format
    2. Description of your title (approximately 2 paragraphs)