Local Author Submission Form

Please review our Collection Development Policy before submitting this form. Please note: This form is for local Elgin County authors only who were born in or currently reside in Elgin County.

Title

Format

ISBN

Publisher

Publication Date

Number of pages

Type of Binding

Price

Notes:

Author's Name

Address

Phone Number and/or email

Library Card Number

Home Library Branch

Aylmer Belmont Dutton Port Burwell Port Stanley Rodney Shedden Springfield Straffordville West Lorne

Brief summary of item and intended audience:

Where has your book / item been reviewed? Please give specific details:

Author's Credentials

Please feel free to attach reviews, publicity materials or other supplementary information if available.

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Local Author Submission Form