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SNMMI Book Author Questionnaire

Do you have a book idea? We're interested in hearing about it. Complete and submit this online form, and if your idea meets the rapidly expanding needs of our publishing program, you may be asked to submit a full proposal that would include a content outline and a sample chapter.

	Full Name:
	Title:
	Organization:
	Address 1:
	Address 2:
	City:
	State/Province:
	ZIP/Postal Code:
	Phone:
	Fax:
	Email:
	Book's Working Title:
	Would this be a ...	single-authored text multi-authored text
	If multi-authored, list other possible authors:
	Briefly describe the organization and content:
	Describe the need for this book:
	Competing Book(s):
		List the author, title, and publisher for any competing books, and describe how this book would differ from those.
	Define the intended audience for this book:
	Would the book be based on research or experience?
		Would the book be based on research or experience? Describe how:
	Length of Book:
		Number of book pages or double-spaced manuscript pages you anticipate the book to be. Specify which you are estimating.
	Approximate Date for Submission:
		What date would you envision for submission of a completed manuscript?
	Manuscript sent to other publishers?
		Please indicate if the manuscript been sent to other publishers, and if so, to whom?
	Have you published before?
		Please list the magazines or books in which your work has appeared. Include publication dates.
	Professional and educational achievements:
		Brief description of your professional and educational achievements.

indicates a required field