Accurate and detailed answers to the questions will ensure a better quality final document. You will be able to come back to this page and edit your answers, change other details or omit some or all of the information. Should your local jurisdiction require additional laws and statutes and you choose not to enter it in this question page, we will print the agreement with additional space for you to fill in the information at a later time.
PUBLISHER DETAILS
Is the publisher above a company?
Yes
No
Publisher's Name:
Address:
City:
State:
Zip Code:
Full Name of person signing on behalf of the publisher:
Title of signer:
AUTHOR INFORMATION
Full Name:
Address:
City:
State:
Zip:
THE WORK
Please describe the work that will be provided by the Author:
Rights granted to publisher:
Exclusive
Non-Exclusive
Period length of this agreement:
Unlimited
Duration of
Remainder of the copyright
Geographic coverage for this agreement:
Worldwide
Restricted to
Will the author name credited on the final publication?:
Yes
No
MEDIA
Detail the medium(s) that the publisher can use to publish/retail the work.
Is this agreement limited to a specific media?
Yes
No
Please check the medias granted in this agreement
Print:
Yes
No
Electronic CD/DVD:
Yes
No
World Wide Web:
Yes
No
COMPENSATION
Would you like to include royalties and other payments in the agreement?
Yes
No
Will there be a one time payment?
Yes
No
The Author shall be compensated:
$
Will royalties per sale be included in this agreement?
Yes
No
Royalties are usually paid either from the publication list price or the list price less common costs. You can select the type of royalties that fit this agreement.
Will royalties be calculated less expenses?
Yes
No
Will royalties be the same for all type of medias?
Yes
No
Percentage of royalties?
%
Include Hard cover book royalties
%
Include Soft cover book royalties
%
Include Download of files (eBook) royalties
%
Include CD/DVD royalties
%
Include other royalties
%
Royalties will be paid:
Royalties will be paid by:
Check
Money transfer
Leave out
Do you want to include the Authors bank details?
Yes
No
Bank details:
Address for Payment is the same as above?
Yes
No
Specify Address:
Payment will be made on: ("within the first 5 days of the quarter")
The tracking will be provided:
How will the publisher provide tracking of sales?
FINAL DETAILS
Agreement Signing Date:
Will a witness also be signing this agreement?
Use the area below to enter any other details that you would like:
(Leave blank if not needed)