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Our Appointment Process
Write and Live His Answer NOW
Your Book Promotional Power Pack with Scott Domeji
NONFICTION CLINIC Form
Application due no later than July15.
Date:
mm/dd/yyyy format
Title:
First Name:
Mid Init:
Last Name:
Address:
City:
State:
Select
** -- **Blank**
AK -- Alaska
AL -- Alabama
AR -- Arkansas
AZ -- Arizona
CA -- California
CO -- Colorado
CT -- Connecticut
DC -- District of Columbia
DE -- Delaware
FL -- Florida
GA -- Georgia
GU -- Guam
HI -- Hawaii
IA -- Iowa
ID -- Idaho
IL -- Illinois
IN -- Indiana
KS -- Kansas
KY -- Kentucky
LA -- Louisiana
MA -- Massachusetts
MD -- Maryland
ME -- Maine
MI -- Michigan
MN -- Minnesota
MO -- Missouri
MS -- Mississippi
MT -- Montana
NC -- North Carolina
ND -- North Dakota
NE -- Nebraska
NH -- New Hampshire
NJ -- New Jersey
NM -- New Mexico
NV -- Nevada
NY -- New York
OH -- Ohio
OK -- Oklahoma
OR -- Oregon
PA -- Pennsylvania
PR -- Puerto Rico
RI -- Rhode Island
SC -- South Carolina
SD -- South Dakota
TN -- Tennessee
TX -- Texas
UT -- Utah
VA -- Virginia
VI -- Virgin Islands
VT -- Vermont
WA -- Washington
WI -- Wisconsin
WV -- West Virginia
WY -- Wyoming
Zip:
Day Phone:
Night Phone:
Cell Phone:
Email:
Website:
Blog:
1. What is your fiction genre or nonfiction book topic?
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2. Who is your target audience? To whom will your book appeal on a psychological, emotional or practical level?
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2a. Theme/Topic/Problem/Dilemma: What deep themes and/or fresh viewpoint do you want your
readers to think about that will change them?
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2b. Fiction: What emotionally-driven problem do you want your readers to dwell on?
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2c. Nonfiction: What real need does your book promise to solve to change the reader's life?
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2d. Memoir: What do you want your readers to know or to understand on a heart level after reading your book?
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3. Are you published or unpublished? If published, list the title of your book(s).
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4. Describe your feelings, attitudes, or beliefs about promoting your book.
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5. What specific marketing pieces have you already created? On acceptance you will need to email copies of those
marketing materials by May 5 to
BlacksidePublishing@gmail.com
, or mail to arrive by May 5 to
5209 Del Paz Drive, Colorado Springs, CO 80918. Attn: Scott Domeji, Marketing Materials for Clinic.
6. Can you bring a laptop to the clinic?
Select
Yes
No
7. Do you have a relationship with or have contact information for marketing contacts (i.e. bloggers,
newspapers, magazines, podcasts, radio or TV stations, book store owners, or places to speak)?
If so, email or snail mail your list, so we can conceptualize targeted materials for specific contacts
whom you want to persuade to promote your book.
8. What do you hope to gain from this clinic?
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Verification Check:
Type the characters that you see in this picture.