NetGalley Listing Order Form Your Name (No pen-names here) Your Email Is this submission part of a previous order? NoYes Book Title Book Subtitle or Series Name and Number When would you like to schedule? 13-Digit ISBN (Enter with no spaces. If you don't have one, type "None." Author Name Publisher Publication Date Retail Price Format (This should match the price. For instance, if you list your ebook price, choose "Ebook." EbookPaperback Book Description (Limit to 300 words - the description you will put on your book page in stores) Editorial Reviews or Blurbs from Other Authors (Leave blank if you don't have any.) 3 Links (You can choose things like your Amazon book page, Goodreads book page, your blog or website, your Facebook page, your Twitter page, etc.) Genre (Choose a maximum of 2) Mystery &ThrillersNew AdultRomanceSci-Fi & FantasyTeens & YAChildren'sWomen's FictionChristianEroticaLiterary FictionLGBT Upload Cover: (File name must be title of book) Upload Epub: Once your order has been approved, you will be invoiced through PayPal. No refunds will be issued for any reason, so if you are ordering in advance, make sure to have your book ready to use the slot. By clicking "Send," I certify that I am the author or agent of the attached material and own all rights to, or have been authorized to represent, said material.