Company Details Company Name * Company Address * City * State * Zip * Office Phone * Toll-Free Phone Fax Internet Address (URL) E-mail Address * Operation How many titles does your company distribute or have in print? * How many years has your company been in business? * What percentage of your sales is to bookstores? * % Are your sales to bookstores handled exclusively by another publisher or distributor? If so, give name: Your Details Your name: * Title: Phone: E-mail address: *