Name
Address
City
Zip Code
Title of book(s), how many copies, and price of each book. (List what category they are. F for fiction, NF for non-fiction, Py for plays, M for memoirs and P for poetry)
| Title/Author | Category | Copies | Price |
Your e-mail address:
Your Phone number:
Cell phone:
Please note: You will be paid every two months from booksales. Sooner if all books sell of the same title.
This form must be filled out and sent with the books. Make a copy for your records. You also will be sent an e-mail receipt of books.
Name
Signature please
Send books to: Cervena Barva Press, Gloria Mindock, P.O. Box 440357, W. Somerville, MA 02144-3222
If more space is needed, ok to send an additional page. Please print CLEARLY!!!! or type on your computer! If I can't read it, I'm sending it back!