Publishing Request Form

Publishing Request Form

Parties and Project Identification

Requester Name:   Company:

Publisher Name:   Publisher Company:

WHEREAS

WHEREAS, Requester desires to engage Publisher to provide publishing services for the work described below and Publisher has the capacity and expertise to provide such services under the terms set forth in this form;

WHEREAS, the parties intend that the scope of publishing services, payment terms, delivery schedule, and rights to be granted shall be recorded as the operative instructions for the publication project;

WHEREAS, the parties acknowledge that certain confidential materials may be exchanged and therefore require protection as set forth in the confidentiality provisions below.

Project Summary

Scope of Work

The Publisher shall perform the publishing services described below in a professional manner consistent with industry standards. The parties agree that the primary services requested are:

Publication Details

Requested Publication Date:   Format: Print eBook Audiobook

Exclusive publishing rights    Non-exclusive publishing rights

Payment Terms

Term and Termination

Effective Date:   Completion/End Date:

Either party may terminate this request for cause if the other party materially breaches any obligation and fails to cure within days after written notice. Termination shall not relieve Requester of payment for services performed prior to termination.

Confidentiality

All non-public information and materials disclosed by either party for the purpose of performing the services described herein constitute Confidential Information. The receiving party shall (i) use Confidential Information only for the performance of obligations under this request, (ii) restrict disclosure to employees, contractors, or agents who have a need to know and are bound by confidentiality obligations at least as restrictive as those herein, and (iii) take commercially reasonable measures to protect Confidential Information from unauthorized disclosure. Confidential Information does not include information that is or becomes generally available to the public other than through a breach of this provision, or information independently developed by the receiving party without reference to the disclosing party's Confidential Information.

Warranties and Indemnification

Requester represents and warrants that it owns or controls the rights necessary to permit Publisher to perform the services and that the submitted materials do not infringe third-party rights. Requester shall indemnify, defend and hold Publisher harmless from third-party claims resulting from breach of these representations. Publisher shall perform services in a professional manner and shall indemnify Requester for damages arising from Publisher's gross negligence or willful misconduct.

Governing Law; Entire Agreement

This request and any services performed pursuant to it shall be governed by and construed in accordance with the laws of the state or jurisdiction indicated by the Requester: . The parties consent to the exclusive jurisdiction and venue of the courts of that jurisdiction for disputes arising under this request.

This Publishing Request Form, together with any attachments or schedules expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior or contemporaneous proposals, communications and understandings, whether written or oral. No amendment or modification is binding unless executed in writing and signed by both parties.

Additional Instructions / Attachments

By signing below, the parties acknowledge that this Publishing Request Form records the parties' agreement concerning the requested publishing services and authorizes the Publisher to proceed in accordance with its terms.

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