Poetry Publication Showcase Submission Form
Have you read the Showcase Submission Guidelines?

Publisher Name
Office Address
City
State
Zip
Phone
Fax
E-mail
URL
Distributor
Ordering Address (if applicable)
City
State
Zip
Phone
Fax
E-mail
URL
Title
Author(s) (last, first)
Editor(s) (last, first)
Translator(s) (last, first)
Pub. Date		Spring 2010 Fall 2009 Spring 2009 Fall 2008 Spring 2008 Fall 2007 Spring 2007 Fall 2006 Spring 2006 Fall 2005 Spring 2005 Fall 2004 Spring 2004 Spring 2002 Summer to Fall 2003 Spring 2003 Summer to Fall 2002 (If Spring 2009, submit form now and send book when published)
Pub. Date for Older Book (1991-1999) to be included in Directory only
Book is:		Written in English Bilingual edition   Anthology Chapbook Full length collection by a single author
Original Language
Number of Pages
Hardcover Price
Hardcover ISBN
Paperback Price
Paperback ISBN
Description: If possible, use an excerpt from a published review (include citation). Please note prizes won. This description may be edited for length or style.