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Submit contact information
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You may use this form to submit your contact information for our
Contacts database, which is
searchable only by Publishers Marketplace members.


Please note that all fields are required, where
applicable. (State is not required outside the US and Canada,
and country is only required outside the US.)

If you are updating or correcting a listing that's already in our
Contacts database, please check the box immediately below.
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Check this box if you are updating an existing Contacts listing.
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First name:
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Last name:
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E-mail address:
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Note: Company, Category, and Job Title are all required.
If you work for yourself, just enter "self" in
the "Company" field and, if nothing else is appropriate,
"self-employed" in the "Job title" field.
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Company/Imprint:
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Category:
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If you work for a publisher outside of the United States and work in any
department besides rights sales, please make your category Foreign Publisher
and indicate what you do specifically in the job title field.
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Job title:
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Phone number:
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Business address:
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City:

State:
(if applicable)

Zip/postal code:

Country:
(if not the U.S.)
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