Book Publishing - LA Book Publisher

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Your Full Name:

Email Address:

Phone Number:

* Note: If you already have an account that you would like us to use to publish your book, kindly provide your account login details below:

Password

Country or Region:

Full Name:

Date of Birth:

Address

Address Line 1

Address Line 2

City

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Zip Code

Phone Number: (Required so you can receive OTP)

Provide your bank information to receive electronic royalty payments.

Where you would like to receive your royalty for the published books.

Account holder name:

Type of account (Checking/Savings):

Account Number:

Routing number:

Name of bank:

Bank Location/Address:

International Wires number (Optional):

BIC/SWIFT code (Optional):

What is your tax classification?

Individual
Business (If you are a business kindly select your federal tax classification below)

Kindly select your federal tax classification below

C Corporation
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Partnership
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Full name (As shown on your income tax return):

Country of citizenship:

Permanent address:

Mailing address:

Taxpayer Identification Number (EIN):

SSN Number:

Provide the Tax ID issued to you by your country of tax residency I have a U.S. TIN:

*Why am I asked for U.S. TIN? By providing a valid U.S. TIN, you may be eligible for a reduced withholding tax rate.

Book Title:

Book Subtitle:

Book Description:

About the Author (Description):

Keywords (7 Keywords related to your book):

eBook Price:

Paperback Price:

Hardcover Price:

ISBN Number (if any):

What is the title of the book?

Is there a subtitle for the book?

Pen Name or Real Name

What is the Genre of the book?

Is your book registered with the library of congress?