PUBLISHING Questionnaire

Publishing Details Required


Personal Details


Email Address *

Password: *

Complete Name: *

Complete Address (No Abbreviations): *

Active Phone Number: *

Account Details (In order to receive Royalties)


Social Security Number: *

Bank Account Holder Name (Exact name as mentioned in the bank): *

Account type Checking or Savings): *

Account Number: *

Routing Number: *

Name Of Bank *

Full Name (As shown in the tax return)*

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