Wildflower Press Custom Book Cover Design Request Form
Contact Name - First:
Last:
Mailing Address:
City:
State:
Zip:
Email Address:
Book Dimensions
The more information you provide, the better able we are to provide you with a cover projecting the image you wish to portray.
--And in the end, this will save you money.  If we have a better idea what you want up front, we won't need to make changes later.
Select the Cover Type You Require:
Finished Size
Height:
Dimensions with trim
Height:
Width:
Width:
Finished Size: Actual size of finished book
***Please note, dimension specifications are critical for proper design of your book.  Do not estimate this information.  Remember that any changes after the initial design will be billed at $35/hr. Please check with your printer/publisher before supplying this information.
Final Dimensions
Height:
Dimensions with trim
Height:
Width:
Width:
Dimensions with trim: Original design size before your book is cut down to its final size. 
-This allows for trim which enables the colors and images on your page to bleed off the edge.
Additional Cover, if selecting Combo:
ISBN:
Author Name:
Complete this information as you wish to have it appear on cover.  Example - If you do not want the author's website to appear on the cover, do not complete this field.  Simply leave blank.
Book Cover - Front
Book Title:
Book Subtitle:
Tagline:
Tagline: A key sentence or phrase which you may use with your book to help potential readers learn what your book is about.
Other:
Complete this information as you wish to have it appear on your cover.  
For example - If you do not want the author's website to appear on the cover, do not complete this field.  Simply leave blank.
Book Cover - Back
Book Description:
Please provide a brief description of your book to entice reader's to select your book.
(Approximately 100 words is a good size to 
shoot for here.)
Publisher Logo:
Will you be using publishers logo?  
Pull Quote:
You may wish to list a brief quote from within the book to be used on your cover.  
Book Reviews:
Has your book received any reviews?
Keep in mind, even a not-so-good review will often still have positive things to say about your book.  Find the best part of the review and list it here.  Don't forget to list your source.  ie: Publishers Weekly,
Literary Classics, Kirkus Reviews, Midwest Book Review, etc..
Tip: if you don't have any reviews yet, don't worry.  You will soon enough.  In the meantime, you might wish to consider asking a fellow author or other respected literarian to read and review your book.  

Note: Many new books will not have reviews printed on the first run of their cover.  It is perfectly fine to leave this field blank.  You can always add reviews, award seals and other accolades in later print runs.
Author website:
List price for book:
You may wish to check with your publisher on listing your book price.  In some instances, you may not want to include price on the book (ie: international sales.)
Author Image:
Will you be supplying a photo for the cover?
Author photos are typically recommended.  We will not use poor or low quality images. Make sure you have permission to reprint the photo, and credit the photographer by listing their name with copyright.   
Tip: You took the time to write a book you can be proud of.  So make sure your image is one you can also be proud of.    We suggest a professional author photo be taken specifically with your book in mind.  Try to match the the style of your photo to the theme of your book.  You'll be glad you did! 
***Time Saving Tip*** 
There are a number of items below which you will most likely need to check with your printer/publisher on before completing this form.  
FOR YOUR CONVENIENCE, WE HAVE INDICATED THESE ITEMS IN RED
Cover Template:
***WAIT  - Does your publisher/printer provide a cover template?  If so, you do not need to fill in the dimensions below.
Spine Dimensions
Height:
Width:
Spine Dimensions
Height:
Width:
Job Title:
Receive a discount when we design your Paperback and Hardback Jacket together.  If not, Select Not Applicable
Check on your publisher's policy and make sure to let us know of any requirements concerning use of their logo.
Your Vision for Your Design
Using Key Words, Please Describe Your Book
(please include images which you believe would work well in your cover design):
Please Describe Your Primary Target Market 
(who will be reading your book - age range, gender, etc):
Let us know the general style/theme of your book.
(serious, funny, ethereal, serene, irreverent... etc.):
Is there a secondary market who you also see reading your book?  If so, please explain.
(Others who may also have an appreciation for your book do not fit your primary market):
Do you already have something specific in mind for your book?
(Please describe below):
Sometimes it can help to find an example of an existing book cover you like.
(Please provide up to three working links for cover image styles you might like to see for your cover design...
feel free to offer your comments along with each link):
A change in page count, can change the width of your book's spine?  A few pages here and there may not matter much, but a significant change can mean you may need to re-work your entire layout.  
Preferred file format for your printer/publisher ie PDF, JPEG, TIFF:
--DID YOU KNOW? 
Photo Credit:
Artist Credit:
Art Image:
Do you have original art for the cover?
If you have original art which you intend to use as part of your cover design, you may do so.  --Make sure you have permission to reprint the art, and credit the artist by listing their name with copyright.   
Phone:
Alternate Phone:
How Soon Do You Need Your Cover Design?
Please tell us the release date for your book:
Most times Your cover design can be completed in under 30 days.  (Revisions may take longer, so it's best to get us as much detailed information as possible early on.)  We will do our best to accommodate your needs.  If this is a rush, please let us know.  
Please tell us your print deadline:
(Date your printer expects completed and approved cover files)
Is this a RUSH order?:
Is this design to be used  for an Advance Review Copy (ARC)?:
Spine
We always do our best to have the front, back, and spine designs all work together within the overall design.  In some cases, (if page count changes significantly, we may recommend use of a solid color pattern which complements your cover design. - Please keep this in mind when submitting your work, and let us know if your page count is expected to change.
I have confirmed spine dimensions with my printer/publisher:
Publisher logo used on spine?:
Text for spine:
Ask us about discounts for re-work of ARC covers for use in final release copy.
Select the cover(s) you wish to have designed
Complete Your Order Now
Be sure to print a copy of this completed form for your records before clicking the submit button.  
Once we receive your completed order, we will send you an email informing you where you can send any additional files or templates.  --Please allow up to three business days for this as we will assign your project to a designer specifically chosen for your style requirements.  A designer will be contacting you soon with further instructions.  

Thank you!
HAVE A COUPON CODE?:
Is this an ARC?:
(Advance Review Copy - Not for Sale )
Final Dimensions
Height:
Dimensions with trim
Height:
Width:
Width:
Additional Cover, if selecting Combo:
Spine Dimensions
Height:
Width:
Receive a discount when we design your Paperback and Hardback Jacket together.  If not, Select Not Applicable
Preferred file format for your printer/publisher ie PDF, JPEG, TIFF:
If you do not have a specific size for your eBook cover, please leave dimension specs blank.  Your cover will be created at a standard size.
*****   eBook   *****
I have confirmed the above dimension specifications with my printer/publisher
I have confirmed the above dimension specifications with my printer/publisher
YesNo
YesNo
YesNo
YesNo
I understand it is my responsibility to gain permission to reproduce any photographic or artistic images.
YesNo
YesNo
YesNo
YesNo
YesNo
I have confirmed the above dimension specifications with my printer/publisher