Author Intake Form Author Intake FormName *Email *Phone *Physical Address (Not a PO Box) *Company Name Business description / What you do *Website URL Proposed book title or subject of your book *What type of book is this? (self-help, teaching guide, memoir, inspirational, fiction, etc.) *Tell us about your book / Provide a brief description and vision. *What are your goals for your book? (build your business, provide a teaching tool, inspire people, visibility and exposure, create change, etc.) *Who is your target audience? (entrepreneurs, women, spiritual seekers, moms, teens, personal growth students, etc.) *On a scale of 1-10 (10 being the highest) how would you rate your writing ability? *Do you currently write or have you in the past written articles, a newsletter, blog posts, etc.? If yes, explain. Do you plan to re-purpose any of these for your book? *How far along are you with writing your book? (nothing yet, idea stage, a few notes, outline done, a few chapters done so far, rough draft). *In what month would you like your launch date to be? *Next Step: When you submit this form, you will receive an email confirmation. Then, within 24-48 hours, you will receive another email from us containing your Author Agreement and next steps on your publishing journey. WELCOME TO POWERFUL YOU PUBLISHING! VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: