Infomercial Marketing Services Order Form

Transcription

1 Order Form Thank you for choosing to take advantage of the Xlibris Infomercial Marketing Packages. Finalizing your order is easy. Simply complete this form in its entirety and return it to Xlibris via , fax or mail. Finalising your order is easy. Please complete the required information, sign off and fax this form to (09) or a scanned copy of this document. We also accept mailed order forms. If you would like to discuss the services further, feel free to contact the Marketing Services Department at or by at 4 Easy Steps to Complete this Order Form *Please write legibly if you are accomplishing this form by hand. You may use an extra sheet of paper whenever necessary. 1. Provide your personal and book information. Although Xlibris may have your contact information on file, we track this service separately from the original publication of your book. Be assured your privacy will be protected. 2. Complete the questionnaire if you purchase the Feature Infomercial marketing package. The answers that you provide here will be used to create the best possible trailer for your book. Of course, anything we create will still be subject to your approval. 3. Select your preferred service package. 4. Provide payment information. Choose which payment method you prefer. You may send a cheque or money order, or provide credit card information. Or you may skip this portion if you have paid prior to receiving this form

2 1 Personal Information Full name: Street Address: Apartment/Suite: City: State/Province: Zip/Postal: Daytime Phone: Evening Phone: Address: 2 Your Book Information Please indicate which book title(s) will be used for this marketing package(s). Book Title #1: Book ID #1: Author Name: Book Title #2: Book ID #2: Author Name: Book Title #3: Book ID #3: Author Name: 3 Questionnaire for Book Video The information here will be used to create your book video. A. Kindly give us a summary of your book (at least 50 words). B. What are five words that you feel best describe the message of your book? C. What is the central topic of your book? What are the main themes and/or ideas? - 2 -

3 D. (If a fiction book) What inspired you to write the book? (If a non-fiction book) What makes you a credible authority on the book s subject? E. Kindly give us a summary of your book (at least 50 words). F. What are five words that you feel best describe the message of your book? G. What is the central topic of your book? What are the main themes and/or ideas? H. (If a fiction book) What inspired you to write the book? (If a non-fiction book) What makes you a credible authority on the book s subject? I. Is the book a sequel or based on an earlier work? If yes, please provide the name of the work upon which this book is based. J. What are other selling points of your book? - 3 -

4 K. In the following field, please provide a brief excerpt from the book itself. L. List 5 subjects related to your book in order of importance. Sample: Catcher in the Rye a. a. juvenile b. b s c. c. memories d. d. prep school e. e. narration M. Who will be the most interested in your book & why? How will your book affect people s lives? N. Please provide any additional comments, suggestions or materials you feel would be helpful in the writing process (previous press releases, reviews, recommendations, biographical information, etc.)

5 4 Service Package. Please select your preferred package Freestyle Infomercial $9,699 Infomercial Spot Wide U.S. Distribution totaling at least 1 Million Views Report of Air Time DVD of Your Infomercial Sales Opportunity In order to purchase this service, you must already have a Hollywood Trailer, Author Video or Book Video created by Xlibris. If you do not already have a video created, please purchase the Feature Infomercial Package. Feature Infomercial $12,899 Book Video Infomercial Spot Wide U.S. Distribution totaling 1 Million Views Report of Air Time DVD of Your Infomercial Sales Opportunity 5 Payment Information Congratulations! You are well under way to marketing your book with the Xlibris Infomercial Marketing Packages Please indicate how you would like to pay for your service and include payment with this order form. You may skip this portion if you have paid prior to accomplishing this form. Check / Money Order Please note that a non-refundable $25 handling fee will be charged for returned cheques Please make cheques or money orders payable to Xlibris Corporation. Credit Card To ensure the complete security and confidentiality of your credit card information, Xlibris does not keep a written record of your card details. Please call and speak directly with our Finance Reps. I have already paid for my Infomercial Marketing Package - 5 -

6 By marking the I Agree checkbox and affixing my signature below, I authorize Xlibris to charge my credit card for the total amount listed above. Only sign this portion if you would like to pay by credit card. I Agree. SIGNATURE OVER PRINTED NAME Date / / Thank you for choosing Xlibris Infomercial Marketing Packages. Did you remember to fill out your contact and book information? Did you select the package of your choice? Did you supply your payment information? Did you fill out and sign the attached agreement? Please sign your completed form and fax or to Xlibris at: Disclaimer Fax: (09) marketingservices@xlibris.co.nz For Freestyle Infomercial Package, videos and trailers submitted by authors may not be shown in its entirety. Editors reserve the right to edit material according to the time and format limits of the infomercial. This service is non-refundable when fulfillment commences after full payment. The sequence and grouping of titles as they appear in the infomercial will be at the sole discretion of the Xlibris creative team. Xlibris reserves the right to decline titles that may have objectionable content. By affixing my signature below, I agree to the terms set forth to this agreement. SIGNATURE OVER PRINTED NAME Date / / - 6 -