B.C.H. Fulfillment & Distribution

Fulfillment Application Form

Before you fill out this form read the descriptions for our Option plans.

Company Name:  
         Address 1:  
         Address 2:  
                   City:  
State/Providence:
              Country: 
 Zip/Postal Code: 
              Phone #:
                  Fax #:
                E-Mail:
Web Site:            
Contact Name:   
Payments (to publisher)- Pay to the order of
List Items on Website - Yes/No -

Book Title #1:
Author:
ISBN (10 digit)#:
ISBN (13 digit)#:
Number of Pages:
Hard or Soft Cover:
Category:
Publication Date: mm/dd/yy
Price - List: $
Discounts if any:

Book Title #2:
Author:
ISBN (10 digit)#:
ISBN (13 digit)#:
Number of Pages:
Hard or Soft Cover:
Category:
Publication Date: mm/dd/yy
Price - List: $
Discounts if any:

Book Title #3:
Author:
ISBN (10 digit)#:
ISBN (13 digit)#:
Number of Pages:
Hard or Soft Cover:
Category:
Publication Date: mm/dd/yy
Price - List: $
Discounts if any:

Book Title #4:
Author:
ISBN (10 digit)#:
ISBN (13 digit)#:
Number of Pages:
Hard or Soft Cover:
Category:
Publication Date: mm/dd/yy
Price - List: $
Discounts if any:

If you have more books, submit this form, fill out another form.  On extra forms - only fill in Company Name and book information.

Option #: 1 = Total Fulfillment including stocking & shipping   2 = Credit Card Processing/Order Taking Only   

Do you want us to ship your book(s) to Bookstores or Resellers: Y or N
  If you answer yes we will contact you about discount rates/commissions.


If you want your title(s) listed on our website please send the following for each title to fulfillment@bookch.com:

    1. Cover image in jpg, bmp, or gif format (please keep the file size as small as possible)
    2. Description of your title (approximately 2 paragraphs)


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