Please Use this Form to Submit Each Title

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Print Out Book and Author's Information Sheet

Lara Publications Free On-line Book Marketing, 12382 Trail Forest Ln. Florissant, MO 63033

Name of Author:
Name of Book:
Publisher's Name and Address:
Book Distributor:
Year of  Publication:
Author's Telephone: Fax: E-mail
Author's Website Address:
Pub. Telephone: Fax: E-mail
Publisher's Website:
Hardback Softback # Pages Regular Price ISBN#
Select Choices

$97 Web Page Design

$199 Special Book Promotion Package

$97 Business Web Page Design

$65 Flyer Distribution - (Book Expo Only)

Amount of Check Enclosed $

Please print out this form, fill it out and send with the books to: Lara Publications, Attn. Book Promotion Dept., 12382 Trail Forest Ln. Florissant, MO 63033.  This form can be faxed to 314-653-6543. If you have any question do not hesitate to call Lara Publications at 314-653-0467. Please E-mail questions to Lara Pubs Manager at


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