Leaving, Staying, and Becoming Well Following a Lose/Leave Conflict in a Congregation

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Submission Application

Welcome to Chalice Pages. Please complete the entire application, sign it and email it to . The publisher will review your application and let you know if your submission has been approved or declined.

Upon acceptance of your manuscript, your answers to the Marketing data questions will become part of the website product setup. Carefully read through and sign the contract/agreement.

Along with this completed and signed form, attach to your email, your electronic manuscript in MS Word or RTF format only and your color author photo in jpg format (portrait head/shoulder photo please).

That is it. We look forward to reviewing your submission.

Marketing Data about your Manuscript

1) Title of Manuscript: xxx

2) Author Contact information—

Name (as it is to appear on the manuscript/website): xxx

Name and mailing address for Royalty checks and 1099 statement:

Author name: xxx

Address: xxx

Phone : xxx

Email address : xxx

You must supply your Social Security number in order to receive royalties, we will call you to obtain this information upon acceptance of your manuscript.

3) Author Bio as you would like it to appear on the website (50 word count or less): xxx

4) Description of the Paper as it would appear on the website (100 word count or less): xxx

5) Who is the audience for this book? xxx

6) How will the reader be better for reading this content? xxx

7) Other Chalice Pages titles by you: xxx

8) Select the main genre and audience readership intended for your manuscript:

__General reading__All ages/gender

__Academic reading__Young Adults

__Professional reading__Women and Women’s groups

__Men and Men’s groups

Select the subject category(ies) that best fits the subject matter of this material: (3 maximum)

__Faith and Culture

__Inspiration/Devotion

__Self-help/Wellness

__Spiritual Growth

__Christian Living

__Bible

__Ministry & Mission

__Church Leadership

__Evangelism

__Pastoral Care

__Worship

__TCP Leadership

__Congregational Transformation

__Church Life

__Christian Education

9) Short review or endorsement of your manuscript, if you have one from a friend or colleague: xxx

10) Read and sign the Chalice Pages Agreement/contract.

Office Use Only:

Subjects Categories for website confirmed as listed above: _____ yes (OR remark in red)

EPDF Read-only ISBN-13: 97808272-xxxxxRetail price:$2.99Unit Cost: -Class: PGSSubcls: REA

EPDF Printable ISBN-13:97808272-xxxxxRetail price:$9.99Unit Cost: -Class: PGSSubcls: PRT

GL Account: sale 4000-11(P), time 6572

Month publication will go live:Upload to PBD:

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