New Member Application - form test C

NINC New Member Application

Please note the conference registration deadline. All applications for membership must be submitted two months prior for those who wish to attend.

Name*

First Last

Email Address*

Pen Name(s)

If you include a pen name, it will appear as your display name.

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone Number*

FAX Number

Where did you learn about NINC?

Which of these two options describe you: (at least one is necessary for application to Novelists, Inc.)*

I have published at least two novels over 30,000 words with a traditional, royaltypaying publisher, with an advance of at least $2000 each, or with royalty earnings over $2000 each in a 12-month period.
I have independently published at least two novels over 30,000 words, with earnings of at least $5000 each in a 12- month period (proof of earnings will be requested).

Number of published novels:*

Recent Titles*

Please list your most recent titles (maximum three). Include publisher, publisher's address, and the format in which the book is published (hardback, trade paperback, mass market or e-book). Documentation of royalties earned are also required and will need to be uploaded separately.

Qualifying Book #1

Title*

Enter the title of the first book you want us to verify

Amazon Link*

Example: https://www.amazon.com/Oxygen-Science-Fiction-Suspense-Novel-ebook/dp/B005P2HB3M

How was this title published?*

This book is published by traditional publisher, is more than 30,000 words, and I either earned more than a $2,000 advance or more than $2,000 during a consecutive twelve month period.
This book is indie (self) published, is more than 30,000 words, and I earned more than $5,000 during a consecutive twelve month period.

Supporting Documents*

If this book is traditionally published, please upload screenshots, spreadsheets, or a picture/photocopy of earnings statements or advances showing that it earned $2000 or more during a consecutive 12 month period. If this book is indie-pubbed, please upload screenshots, spreadsheets, or a picture/photocopy of earnings statements showing that it earned $5000 or more during a consecutive 12 month period.

Drop files here or

Accepted file types: jpg, gif, png, pdf, csv, xls, xlsx, doc, docx, rtf, Max. file size: 50 MB.

Qualifying Book #2

Title*

Enter the title of the second book you want us to verify

Amazon Link*

Example: https://www.amazon.com/Oxygen-Science-Fiction-Suspense-Novel-ebook/dp/B005P2HB3M

How was this title published?*

This book is published by traditional publisher, is more than 30,000 words, and I either earned more than a $2,000 advance or more than $2,000 during a consecutive twelve month period.
This book is indie (self) published, is more than 30,000 words, and I earned more than $5,000 during a consecutive twelve month period.

Supporting Documents*

If this book is traditionally published, please upload screenshots, spreadsheets, or a picture/photocopy of earnings statements or advances showing that it earned $2000 or more during a consecutive 12 month period. If this book is indie-pubbed, please upload screenshots, spreadsheets, or a picture/photocopy of earnings statements showing that it earned $5000 or more during a consecutive 12 month period.

Drop files here or

Accepted file types: jpg, gif, png, pdf, csv, xls, xlsx, doc, docx, rtf, Max. file size: 50 MB.

Add Your NINC User Credentials

Username*

Password*

Password strength should be 'Strong'.

Enter Password Confirm Password

Strength indicator

Application Fee Payment

Enter your credit card information below to be charged the non-refundable application fee of $15 right now.

Membership Application Fee

Price:

Coupon

Total

$0.00

Credit Card*

Card Details

Cardholder Name

Comments

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New Member Application – form test C

New Member Application 2022 (C)