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)