Women in Print - Central Source Networking
Title Registration DATA SHEET

Please, please, please type this information if you can! (If you must print, please be neat. Thanks!) Keep this form as a master and make copies for use in submitting information. Each title must have its own data sheet.

PUBLISHER:

TITLE:

SUBTITLE:

Edition # or Series Name:

AUTHOR(s) / Editor(s):

Illustrator(s) & Others:

Binding choices	TRADE PAPER	CLOTH / Library	OTHER binding or format (specify)
ISBN or ISSN:
PRICE:
NUMBER OF PAGES:
TRIM SIZE:
DATE PUBLISHED:
Please indicate Yes or No for each of the following:
BIBLIOGRAPHY:
INDEX:
ILLUSTRATIONS:

SUBJECT CATEGORIES:
(Choose up to four categories from the Subject Code List which best describe this title.)

1st: _________________ 3rd: ___________________ On a separate sheet, please include a
2nd: ________________ 4th: ___________________ 3-sentence description of this title.

AWARDS RECEIVED: (use extra sheet if necessary)

REVIEWS RECEIVED (please provide complete citation -- do NOT send copies -- use extra sheet if necessary)

With this form send: 1) One copy of the book, 2) Payment & additional appropriate forms.
Remember to email cover art in gif or jpeg format to wompresses@litwomen.org
Mail to: Mev Miller,  182 Riverside Ave., Cranston, RI 02910 or Email to: wompresses@litwomen.org