Penn State Press Author Information Form

To download this form as a Microsoft® Word document, click the button below.

Email the completed form to this address

Author Information Form (AIF)

Note to Penn State Press Authors: The information requested below is needed for our purposes in registering the copyright in your book, reporting royalty and other payments to the IRS, and planning an effective marketing campaign. Please fill out the form carefully and return it no later than the time you submit your manuscript for copyediting. If you have questions about specific items on the form, please contact the . If you need additional time to assemble materials, such as the review list or mailing labels, please note that on the form.

WARNING: This is an on-line form that allows you (the author) to directly submit your information to Penn State Press. When filling out this form, please keep in mind that you must fill out and submit all information below at one time. In most cases your browser will not keep the information you have entered, thus if you were to close out of this window, all the information would be lost.


Date:
Title of Book:

Name (as you wish it to appear on the title page - give your legal name also if it is different)

Office Address Information		Home Address Information
Address:		Address:
Address 2		Address 2:
City:		City:
State:		State:
Zip:		Zip:
Country:		Country:
Phone:		Phone:
Fax:		Phone number we may give to anyone in the media wising to make direct contact (write "none" if you do not want your number given out for such a purpose)
Email:

If possible, please include a black-and-white photo of yourself for publicity purposes when you submit this form. If you would like to do so electronically, please email our for specifications.

Date of Birth:
Citizenship:

Present and past positions held (including dates)

Education (including institutions, degrees, and dates)

Awards and honors received (with names of sponsoring institutions and dates)

Grants received for research on this book (with names of sponsoring institutions, grant numbers, and dates)

Travel (a) related to work on this book and (b) planned for the next two years

Professional societies of which you are a member (including information about any offices you have held within the past, and dates)

Previous books (titles, publishers, dates, approximate sales) and names of journals or magazines to which you have contributed.

Your previously published material on which this book is based. (This information is necessary to register the copyright with the Library of Congress.) a) If based on a dissertation, please give (1) the full title of the dissertation; (2) if you registered the copyright directly with the U.S. Copyright Office or indirectly through UMI (ProQuest), the Form TX registration number the Copyright Office assigned to it; and (3) a brief summary of the revisions made and new material added to turn the dissertation into a book. 1) dissertation title: 2) copyright registered? YES or NO (if yes, please supply registration info) 3) summary of revisions:

Short description of the book (copy to be consulted for space advertising) in 50-75 words

Long description of the book (copy to be consulted for catalog and jacket flap) in 300 to 500 words covering its purpose, importance, and scope, its distinctive contribution to knowledge in its field, and any special features regarding the sources, methodology, or approach used

Additional information useful as background for promotion (such as anecdotes or unusual experiences relating to the research and writing, any features that make it "unique" or "first" in its field, comparisons with similar or competing works previously published, etc.)

Audiences (including main and secondary as well as special groups like the Sierra Club, the League of Women Voters, etc., with names and addresses for contacts for the latter where we might obtain mailing lists)

Names (with full addresses and/or e-mail addresses) of up to five prominent individuals to whom we might send a copy of your book before publication to solicit endorsements useful in promotion

Names (if different from the above) of people whom we might suggest to major media book editors as possible reviewers for your book

Artwork (photos, drawings, etc.) relating to your book whether included in it or not that might be used in advertising or on the jacket, with information about where permission (if necessary) may be obtained

Journals (with addresses if foreign) and major media (if applicable) where it is most important to have review copies sent

Journals (with addresses if foreign) and major media (if applicable) where it is most important to advertise your book (ranked in order of importance)

Chapters or sections of your book that might lend themselves to being excerpted for publication before your book appears and names of magazines that would likely be interested in them

Internet listservs or bulletin boards that might want to know about your book. If part of a professional organization, please supply the e-mail address of the list's moderator or administrator.

Prizes and awards for which your book should be eligible, with names of the sponsoring institutions

Professional association meetings where your book should be exhibited (with an asterisk to indicate those you regularly attend)

Local or other newspapers and alumni magazines to which an announcement about your book should be sent, with names and addresses of editors to whom it should be directed.

Names, addresses, and phone numbers of local booksellers who might be interested in carrying your book

Foreign publishers who have bought rights to your previous works or who might be interested in buying rights to this book

Number of flyers you would use as handouts when you give talks relating to your book and for other purposes

Names and addresses of teachers who might be interested in adopting your book (if available in paperback) for their courses.