Mint Pub Home : Services : New Client Application

New Client Application:

NOTE: All Information is kept 100% confidential. Mint Publishers will gladly sign a confidentiality agreement. Please fax your confidentiality agreement to Morty Mint, Mint Publishers Group, 914-244-1739.
Contact Information:
Your Name:
Company Name:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Telephone Number:
Fax Number:
Your E-mail address:
Company Information:
Years in business:
# of Frontlist Titles:
# of Backlist Titles:
For the last fiscal year:
Gross Sales Units & Dollars:
Return Units & Dollars:
Net Sales Units & Dollars:
# of shipments: