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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 Partner Publications.

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:

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)

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