Email Address:

Your Name

Name of publisher

Your Address

Publisher Address

Who is the author?

Should license be made out to the publisher or you?

What is proposed book/program title?

Do you want rights for all editions or just this one?

Do you want JPEG files or PSD files?

How many copies of the book will be printed?

Will the book be available online as a downloadable PDF (extra charge for maps)? Will the book be available online as a downloadable PDF (extra charge for maps)? YesNo

Will maps be placed on Facebook or other social media (extra charge and requirements to do a watermark on the map)? Will maps be placed on Facebook or other social media (extra charge and requirements to do a watermark on the map)?YesNo

What is the retail cost of the book?

How many maps do you plan to use?

What series are the maps from?

Global Maps only: what projection: Global Maps only: what projection: MollweideRectangular

Exactly what is the time slice of the map(s)?

What is the approximate size of the map(s) in the book?

Will map(s) be used on the cover or back of the book?

Global Maps only: do you want latitude and longitude lines? Global Maps only: do you want latitude and longitude lines?YesNo

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