Publisher Request Form

After reading the AAPC's Book Listing Requirements, please complete the following form to have a book considered for inclusion in the AAPC vendor book store.

Book Title:
Book Publisher:
Published Date: (Ex. 01/01/2010)
This book is republished each calendar year.
Short Description (of book):
Customer reviews/quotes:
Author(s):
About the Author:

ISBN-13:
Weight: lbs
Book Dimensions: x x inches
Page Count:
Cover: (hard, soft, etc.)
Binding: (spiral, perfect bound, etc.)

MSRP Price: $
Proposed Cost to AAPC: $

Your Contact Information
Company:
Name:
Address:
City/State/Zip: / /
Email Address:
Phone:
Fax:

File Upload
Book Cover Image: Max. image size 100KB
Example Pages:
(Max. image size 100KB)