IndiesUNITE! Participation Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

IndiesUNITE! Participation Interest Form

Thank you for your interest in participating in the IndiesUNITE! project. Please fill out this form and we will get back to you soon.

Sign in to Google to save your progress. Learn more

* Indicates required question

I am an: *

author

illustrator

independent bookstore

Other:

Required

First & Last Name *

Your answer

Phone Number *

Your answer

Email *

Your answer

Bookstore Name or Book Title You Represent *

Your answer

Questions and comments

Your answer

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of River Dog Book Co.. Report Abuse