Assessment Form
Sample Form
Publishing your book with APMI Publications!
Assessment Form
Please fill out this form and submit it to our office to receive an assessment and cost calculation concerning your publishing project (a PDF file of this form is available HERE). Once the assessment is complete we will then send you a “Book Publishing Agreement” document, which you may sign and return to our office to initiate the publication process.
NOTE: Please use a separate form for each of your book projects!
1. PERSONAL INFORMATION
| Title: | Last Name: | First Name: | ||
| Address: | City: | |||
| Region/district: | Post Code: | Country: | ||
| Tel. daytime: | Tel. evening: | |||
| Email: | Website: | |||
2. MANUSCRIPT INFORMATION
| Book Title: | ||
| Document Format: ☐ doc / docx ☐ pdf | Page Format: | Page Numbers of document* |
* This might change depending on the final format & layout of your printed book.
3. COVER DESIGN*
| ☐ Please see attached file for my finished book cover. ☐ Please design a cover for me from scratch, as I have no material to be included. ☐ Please use the image(s) I am submitting for the cover design. Document name(s): |
* You may include further details either in the comment section or on a separate page.
4. TEXT DESIGN / USE OF IMAGES*
| Please indicate below if your text will include images or graphics. These will need to be submitted as image files, separately from your manuscript file. ☐ No, there are no images displayed within the body of my text. ☐ Yes, there are _______ images enclosed within the body of my text. Document name(s): |
* You may include further details either in the comment section or on a separate page.
5. PROOFREADING
| Has your book been professionally proofread? ☐ yes ☐ no |
6. ESTIMATED NUMBER OF PAGES, PRINTED BOOK (including all pages and empty pages of the interior – without the cover / book jacket)
| ☐ less than 100: ______ ☐ 100 ☐ 150 ☐ 200 ☐ more than 200: ______ |
7. BOOK FORMAT (page size)
| ________ cm (width) x ________ cm (length) |
8. COLOUR
| ☐ b/w interior, colour cover ☐ other ____________________________ |
9. ADDITIONAL COMMENTS
| Please use this space if you wish to stipulate any further requests not covered by the points mentioned above (i.e. you have a pre-set layout which you would like to use for your book, or you wish to include extra pages of advertisement etc., or if you wish to include images within your text – which would be calculated as extra). PLEASE USE EXTRA PAGE IF REQUIRED |
10. EBOOK CONVERSION
| Once the book has been finalized and published, APMI Publishing and Publications will place the book also as an e-book on international outlets (Amazon, iBookStore, Nook store, Lulu). This will include a new ISBN Number for the e-book version provided by the publisher. Submission times are subject to the processing times of the individual outlet and cannot be influenced by the publisher. |
12. STATEMENT
| I hereby would like to request for the Assessment of my book project. I am aware that the cost calculation will be based upon the information included within this form. Please find attached my manuscript (electronic format: pdf or doc / doxc only). Furthermore the assessment fee of 100 Euros has been paid ☐ via PayPal on _____________________________________ Link: paypal.me/AlanPateman; or use apostledr@alanpatemanworldmissions.com receiver email ☐ via bank transfer on ________________________________ Account Holder: Dr. Alan Pateman International Bank Account Number (IBAN): IT55F0310413700000000822953 SWIFT: DEUTITM1430; Bank Name: Deutsche Bank Date ______________________ Signature ____________________________________ This signature is only for the assessment and not the overall printing agreement! |
NOTE: Forms need to be received either by scan copy or original, sent to the address details as seen below (please remember to enclose a memory stick when submitting your manuscript via mail). Please also indicate chapter headings very clearly!
