Company / Publisher Name

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Name of ISBN Coordinator / Contact

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Address...................................................................................................................................................................................

Tel..............................................  FAX.................................................. E-mail...........................................

Website.....................................................................................................................................................................

If P.O. Box indicated, local street address is required

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Indicate year you started publishing

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Number of titles published by year 1998..................  1999...............  2000................  2001...............

Estimated Number of titles per year.............  Quantity available in print (Back List)............

N.B. Publishers should state an approximate output in order to be allocated specific ISBN blocks, i.e. 1-3 titles - block of 10 ISBNs, 4-70 titles - block of 100 single ISBN from a prefix range reserved for occasional publishers. The prefix does NOT identify any one particular publisher, and cannot be claimed to be owned by any one publisher.

Are you a subsidiary of another company?        Yes   No  

If yes, provide name, address and ISBN Publisher Prefix

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Indicate what type of products you produce:
Books   Videos   Software   Mixed Media   Spoken Words on Cassette/CD   Other......................................................................

Indicate the book subject area:
Children's   Law   Medical   Religious   Sci-Tech   Other......................................................................