** Required information -
If you do not fill in these items completely, the contract is invalid.
As owner or Copyright, I authorize Gregath Company, Incorporated to advertise and sell:
**(TITLE) __________________________________________________________________________
**by ______________________________________________________________________________
**Gregath IBSN _______________________________________________________________
From book inventory I agree to keep with
Gregath Company, Incorporated will forward,
annually, 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 provided 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), times number sold.
I agree to notify The Gregath Publishing Company if there is any other change in the status of the book which may affect the ability of restocking GCI for ISBN sales.
_______________________________________________________________________________________
**Signature **Date
Phone Number ______________________________________________________________
Email Address: ________________________________________________________________
**WITNESS** Subscribed and sworn before me, this _________________ day of _________________________, 20__. _____________________________________________________________________________________ Commission expires OR Relationship to Signatory _________________________ |
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.
Thank you for your interest.
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