Name
Pronouns
E-Mail *
What Service(s) will be publishing the work? *
What is the word count?
How would you like each chapter to begin? (For example: Chapter 1, Chapter Two, Chapter III) *
Would you like a subheading for each chapter? (For example a chapter title, a point of view, etc) *NoYes
Would you like a border, image, or design etc on chapter title pages? *NoYes
How would you like scene breaks to be displayed?
Please include a description of the design you want per chapter: *
Please copy paste links to any references or visual ideas here:
