Picture Book Services on-line Order Form


Book Title *
Subtitle
Author Name or Pseudonym
Subject or Genre
Age Level (if applicable)
Sizes: 5.5" x 8.5"	Yes No
6" x 9"	Yes No
8.5" x 11"	Yes No
7" x 10"	Yes No
Special Sizing
Font choices
General Suggestions for your book
Has your book been previously copyrighted?	Yes No
If yes, what was the year of copyright?
Registration number & ISBN
Full Name
Full Mailing Address
Telephone
Cell Phone
Email *
32 page Service Cost $599	Yes No
Total Number of book pages
Additional Page Charges $7
ISBN $54.99	Yes No
Total Service Cost $
Date of Submission *
PAYMENT: Check Payable to Kennedy Promotions LLC	Yes No
Payment: Pay-Pal bill	Yes No