Submission Form

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Use the "Send Submission Form to Publisher" button above to send this form to the Publisher and proceed with the submission process, or print this form and send with the other materials required to the publisher at the address below.

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Author Information
Author First, M.	Mr. Ms. Dr.
Last name
Email
SS# / US Tax ID
P.O. Box
Street Address
City, State Zip Code
Country
Telephone
Fax
Web URL
Publication Data
Title of Work*
Subtitle*
Author's Name
Subject Category
Copyright Year
Keywords not in title
Synopsis
OPTIONAL Author Bio
Manuscript Submission Options
	Send final version of your manuscript on disk or upload via internet in PDF format.
Payment Options
	Publishing fee of US $495.00 ONLY .Include check drawn on US bank or wire transfer payable to uPublish.com, or pay electronically. Submit manuscript in Acrobat PDF format and save $100. (Get voucher here.)
	OR
	Publishing fee of US $495.00 PLUS Optional $100.00 Cover Artwork Setup .Include check drawn on US bank or wire transfer payable to uPublish.com, or pay electronically. Your color or black & white graphics on the cover. Include graphic files/cover artwork with submission in TIF format.
Confirmation of Publishing Agreement
	Publisher Agrees To: Universal Publishers (the Publisher) agrees to assign a publisher's ISBN and offer the work for sale. The Publisher agrees to pay the author a royalty of twenty percent (20%) on sales of the work after the sale of the first three copies sold in each calendar quarter when ordered through a bookseller at our standard discount, and forty percent (40%) on all sales after the sale of the first three copies in each calendar quarter when purchased from Universal Publishers at the retail price. Royalties are payable 45 days following the end of each calendar quarter. Author Agrees To: I represent and warrant to Universal Publishers the content of the manuscript submitted is my own work and that I do not infringe or violate the rights of anyone else and that I am the sole owner to the rights to this work. Furthermore, I understand that it is my sole responsibility to obtain any copyright permission necessary to publish my work. I hereby grant Universal Publishers the limited, non-exclusive right to reproduce and distribute, in whole or in part, my work indicated on Submission Form in both hard copy and electronic form. I agree that either party may terminate this agreement for any reason, at any time, by giving 90 days written notice (initial fees are non-refundable). I acknowledge that any changes to my work after it is accepted for publication by Universal Publishers represent a new submission and may require repayment of all submission and preparation fees. It is my responsibility to notify Universal Publishers of changes in my email and mailing address.
	By checking this box I declare that I have read and understood the Publishing Agreement and that I have submitted it, signed and dated it.
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