Purple Media & Digital Concepts LTD

Amplifying voices, building brands, creating digital impact

Book Publication Client Project Form

Please complete this form so we can understand your book project and recommend the right publishing services. Your information and manuscript will be treated as strictly confidential.

1. Author and Contact Information

Full Name *

Email Address *

Phone / WhatsApp Number *

Country of Residence

Preferred Contact Method

WhatsApp Phone Call Email

2. Book Information

Proposed Book Title *

Author Name to Appear on the Book *

Briefly Describe Your Book *

Who Is the Target Audience?

Main Purpose of the Book

To educate To inspire To entertain To promote a business or personal brand For academic use To generate income

Other:

3. Manuscript Status

What Stage Is Your Manuscript Currently At?

I have only an idea I have started writing The manuscript is completed but unedited The manuscript has been edited The manuscript is fully formatted The book has already been published and needs republishing

Estimated Number of Words or Pages

Manuscript File Upload (Optional)

Additional Notes About the Manuscript

4. Services Required

5. Publishing Platforms and Formats

6. Book Design Preferences

Do You Already Have a Book Cover?

Yes No I have a draft that needs improvement

Requires Illustrations/Charts/Photos?

Yes No Not sure

Describe Your Preferred Cover Style, Colours or Design Ideas

Reference Images/Samples Link (Optional)

Upload Reference File (Optional)

7. Publication Timeline and Details

Preferred Publication Date

Is the Date Connected to an Event/Deadline?

Yes No

Do You Already Have an ISBN?

Yes No Not sure what an ISBN is

Have You Published a Book Before?

Yes No

8. Budget and Printing

Estimated Project Budget

I need a quotation Budget is not yet decided

Other:

Do You Require Printed Copies?

Yes No Maybe later

Quantity

Book Size

9. Additional Information

Special Instructions, Concerns or Expectations

How Did You Hear About Purple Media & Digital Concepts LTD?

Social media Website Google search Referral WhatsApp Previous client

Other:

10 Client Confirmation

I confirm that the information submitted is accurate. I confirm that I have the legal right to submit the manuscript and materials provided. I understand that submitting this form does not automatically confirm the project. I understand that Purple Media & Digital Concepts LTD will review the information and provide a quotation, timeline and service agreement.

Client's Full Name

Digital Signature (Type Name)

Date

2 Ayetoro Area, 15 Ifelodun Street, Iyana Iyesi, Ota, Ogun State