PUBLISHER QUESTIONNAIRE



MOSAIC RIGHTS MANAGEMENT - PUBLISHERS QUESTIONNAIREPlease complete and return this form to conduct business with Mosaic & our clients. This will also place you on our E-mail list to receive catalogs, product updates, etc. This helps us target publication information only to the companies with interest and better understand your publishing program. You can opt out of our promotional emails at any time.Note: You can complete this form electronically. As you type your answers, the shaded field will increase to the length of your text. The FORMCHECKBOX boxes are checkmark fields that will insert a checkmark when you click on them (to de-select, click again). Save your document with your company name and email it back to pany Name FORMTEXT ????? Street Address FORMTEXT ?????City, State & Postal Code FORMTEXT ?????Country FORMTEXT ????? Languages Published FORMTEXT ?????Contact Name FORMTEXT ????? Phone Number FORMTEXT ????? Email ID FORMTEXT ????? Fax Number FORMTEXT ?????Alternate Contact Name FORMTEXT ????? Email ID FORMTEXT ?????Owner or Parent Company Name FORMTEXT ????? Year Founded FORMTEXT ?????Form of Ownership: FORMCHECKBOX Corporation [CORP] FORMCHECKBOX Not-for-profit Organization [NFP] FORMCHECKBOX Other (please explain): FORMTEXT ????? Names of the publishing imprints of your company FORMTEXT ?????Number of books in print: FORMTEXT ????? Number of books you plan to publish per year: FORMTEXT ?????Countries in which your books are distributed FORMTEXT ?????How do you prefer to pay royalty? FORMCHECKBOX On Retail Price or FORMCHECKBOX On Net Price – list your average discount percent: FORMTEXT ????? Royalty Report Period Ending: FORMCHECKBOX Annually/December FORMCHECKBOX Annually/ FORMTEXT ????? FORMCHECKBOX Semi-Annually/July & Dec FORMCHECKBOX Other: FORMTEXT ?????Markets and methods in which you sell books (please check all that apply): FORMCHECKBOX General non-religious market [GEN] FORMCHECKBOX Christian / Protestant market [CBA] FORMCHECKBOX Catholic market [CATH] FORMCHECKBOX Other markets / other distribution methods (please type in detail: FORMTEXT ????? FORMCHECKBOX Bookstores Owned by Your Company - # stores: FORMTEXT ????? [OWN] FORMCHECKBOX Directly to Bookstores Owned by Others - # of stores: FORMTEXT ????? [BOOK] FORMCHECKBOX Book club – number of members FORMTEXT ????? [CLUB] FORMCHECKBOX Distributors - number of distributors: FORMTEXT ????? [DIST] FORMCHECKBOX Direct Mail Catalogs – how many on your mailing list: FORMTEXT ????? [MAIL] FORMCHECKBOX Website Ordering [WEB]Categories of books you publish (please check all that apply): FORMCHECKBOX Academic [ACAD] FORMCHECKBOX Autobiographies/Bios/Personal Stories [AUTO] FORMCHECKBOX Bible Reference [BREF] FORMCHECKBOX Bible Study / Curriculum [STUDY] FORMCHECKBOX Bibles [BIBLE] FORMCHECKBOX Business / Leadership [BUS] FORMCHECKBOX Catholic Specific [CATH] FORMCHECKBOX Charismatic / Spirit Filled Life [CHAR] FORMCHECKBOX Christian Living / Spiritual Growth [CLIV] FORMCHECKBOX Children’s Non-Fiction: Christian [CHILD] FORMCHECKBOX Children’s Non-Fiction: Character/Values[VCHIL] FORMCHECKBOX Church Leadership/Pastoral Helps [CHUR] FORMCHECKBOX Contemporary or Social Issues [SOC] FORMCHECKBOX Counseling [COU] FORMCHECKBOX Devotional/Meditation [DEVO] FORMCHECKBOX Family Issues / Parenting [FAM] FORMCHECKBOX Fiction: Adult [FICT] FORMCHECKBOX Fiction: Juvenile [JFIC] FORMCHECKBOX Gift Books [GIFT] FORMCHECKBOX Inspirational/Motivational [INSP] FORMCHECKBOX Men’s Issues [MEN] FORMCHECKBOX Relationships [REL] FORMCHECKBOX Self-Improvement [SELF] FORMCHECKBOX Women’s Issues [WOM] FORMCHECKBOX Youth Non-Fiction [YTH] FORMCHECKBOX Other-please specify: FORMTEXT ?????Conventions that you plan to attend the next year or two: FORMCHECKBOX Beijing [BJ] FORMCHECKBOX Bologna Childrens Bookfair [BC] FORMCHECKBOX BookExpo America [BEA] FORMCHECKBOX CBA Marketsquare Europe [MSE] FORMCHECKBOX Christian Booksellers Association Unite in US [CBA] FORMCHECKBOX London Bookfair [LBF] FORMCHECKBOX Frankfurt Bookfair [FF] FORMCHECKBOX Society of Biblical Literature [SBL] FORMCHECKBOX Other FORMTEXT ?????Also, enclose a list of names & contact information of U.S. Publishers from whom you have obtained rights, plus any industry associations in which you are a member.RETURN COMPLETED FORMS TO THE MOSAIC REPRESENTATIVE THAT SENT IT TO YOU, or to rights@ ................
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