EmailMe Form - Author Welcome Questionnaire (1 of 5)

Current title of your book: *

Fields marked * are required.

Your name (as you would like it to appear on your book's cover): *

Tell us how to pronounce your name:

Preferred title: *

If you have written this book with one or more co-authors or co-editors, please indicate the order in which your names should appear on the book cover:

Please upload your CV or resume.

To help us create an author page for you on our website (or update the page we have already created), please upload a high-resolution "headshot"-style publicity photo of yourself.

Photo credit (if required):

Please check one: *

I certify that I hold world rights to this image and grant Wm. B. Eerdmans Publishing Co. permission to disseminate it freely.

I certify that, although I do NOT hold world rights to this image, I have secured permission from the rights holder for Wm. B. Eerdmans Publishing Co. to disseminate it freely.

Preferred mailing address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Alternate mailing address:

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Preferred email address: *

Alternate email address:

Preferred phone number: *

Alternate phone number:

Online platform (provide links for each as applicable):

Website
Blog
Facebook fan/brand page
Twitter profile
Other (1)
Other (2)

Birthdate (required for copyright) *

MM / DD / YYYY

Birthplace (required for copyright): *

Citizenship (required for copyright): *

Religious affiliation (if applicable):

Biographical statement we can use as the basis for your author profile (limit 100 words): *

In twenty words or fewer, what's your "claim to fame" (don't be modest!), especially as it relates to this book? *