Western States Independent Publishers’ 2011-2012 Catalog of Books

Input Form

Please fill out the ENTIRE form. The form cannot be submitted until it is FULLY COMPLETED.

If you have only one book, the payment will be attached to that book. If you have more than one book, YOU MUST FILL OUT A SEPARATE INPUT FORM FOR EACH BOOK, but the FULL payment should be attached to your FIRST book. If you pay by check, one check will cover all of your books.

We will use the same information for both the PRINT version and the PDF version.

PayPal is the preferred method of payment. You do not have to be a member of PayPal to use this service.

After submitting the form, please use PayPal, using the button on the “Review your information” page, or send a check. If the credit card online form contains a memo or comment section, please indicate "CATALOG."

If you cannot use PayPal and need to send a check, the check must be received within 5 days. Please make the check out to PALA and send it to Gary Young, PALA, P.O. Box 8728, Calabasas, CA 91372-8728. Please indicate "CATALOG" on the memo line (bottom, left).

Your listing will become active only upon receipt of payment and verification that you are a current member of your affiliate.

If you have any questions, please e-mail Gary Young at artsy12@earthlink.net, and put "CATALOG QUESTION" in the subject line.

To see the style of the 2011-2012 catalog, you can see the 2010 catalog: http://www.pa-la.org/documents/WSIP_pg2.pdf

COST:
$45 for the first book
$25 EACH succeeding book

Your payment is due immediately.

Please refer to "review your information" at the bottom for the payment information.

PLEASE NOTE:

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Book title
Subtitle
Author
Description (200 characters or less, including spaces)
characters left
Category
Describe "Other"
Binding
Describe "Other"
ISBN
Size
Price
Number of pages
Publisher
Distributor
Publisher or Book URL
Ordering info, if different from distributor. If not, please enter: None.
Optional contact info. If none, please enter: None
Cover art - JPEG only:
300 DPI if possible (good resolution)
Size: (1.5" x 2.0" approximately.) We can re-size this if necessary.
Name of contact person for this listing
Phone number of contact person for this listing
E-mail of contact person for this listing
Which affiliate group do you belong to?
How are you paying?
TOTAL catalog submissions. A separate Directory Input form is required for each book, but one payment will cover all books (see category below this one).
If you are paying for more than one book by CREDIT CARD, one payment needs to be attached to THE FIRST BOOK to cover all of your entries.

a. If paying by CREDIT CARD, please enter "CREDIT CARD"

b. If you are paying by CHECK, please enter: "CHECK."