Glossary
Catalog
S&H
Part
I
Printed Book
Family History
State
Part II
E-Book
Genealogy & History
Fiction
Part III
Non-Book Items in our Catalog
Other Sections
(May include Printed Book, E-Book and Other)
New
Additions
New
Reprints
Gift Services
Online
Order Form Links (SCL)
Release to Advertise &
Sell Book
Reprint/Reproduction of Previously
Published Material
Please Print & Mail
Click here
if your book is NOT a reprint. | Click here if
you want to sell an item (DVD, Map, etc.)
To
program description
** Required information -
If you do not
fill in these items, the contract is invalid.
I am
**(check one
and fill out
completely)
□
the
Copyright holder
(circle
A or B)
and
A - am sending a copy of my
Copyright form for your files.
B - holding an implied Copyright, consider
this my statement of Copyright for your files.
□
not the Copyright holder and am sending a
copy of my Copyright release, giving me permission to publish, for your files.
and authorize The Gregath Publishing Company to advertise and sell:
**_____________________________________________________________________________________
**by__________________________________________________________________________________
The Gregath Publishing Company will forward
the following
**(check one
and fill out
completely)
□ payment via check to:
Name: _________________________________________________________________________
Address: _______________________________________________________________________
City/State/Zip: _________________________________________________________________
Please include pre-addressed mailing label (choose one) - YES NO
□ delivery mailing information and electronic payment via PayPal email provide below.
Forwarded payment is figured thusly:
Gregath's retail price, which I have
established at
**$_______________
less 20% which is **$_______________ (price per book I will
receive)
plus a shipping allowance which will be
from $2-6 dollars per book.
I agree to mail all orders by **(check one and fill out)
□ Post Office via _____________________________________________ (type/class)
□ Other Carrier _____________________________________________ (specify)
to the designated customer within 10 days of receipt of forwarded order.
I further agree to notify The Gregath Publishing Company when my supply of books is sold down to ten (10) books and/or there is any other change in the status of the book which may effect the ability of filling these orders.
_______________________________________________________________________________________
**Signature **Date
Phone Number ______________________________________________________________
Email Address: ________________________________________________________________
**Subscribed and sworn before me,
this _________________ day of _________________________, 20__.
____________________________________________________________________
(If Notary Public) My commission expires
Description of book for Advertisement (optional):
Size _______
Number of Pages _______
Type of Cover or Electronic Format/Media _______
Does the book contain (please circle) index, photos, maps, documents, coats of arms
Further comments/PR for advertisement and future reference should be placed on reverse or a separate sheet.
Please Print & Mail
Click here
if your book is NOT a reprint. | Click here if
you want to sell an item (DVD, Map, subscription, etc.)
To
program description
Thank you for your interest.
