Question Title

* 1. What is your first name and last name?

Question Title

* 2. What is your email and phone number?

Question Title

* 3. What is your address / country / time zone?

Question Title

* 4. What message regarding sobriety and recovery would you like to share with the world?

Question Title

* 5. Will you want to use this book to (check all that apply)?

Question Title

* 6. Are you ready to commit to a timeline for first draft, editing, final draft, printing etc.?

Question Title

* 7. Why do you want to share your story now?

Question Title

* 8. Do you have the financial resources to pay for your chapter by the printing deadline - tenative target  January 2024 ?

Question Title

* 9. If you answered YES to the above, please check which payment option best fits your resources.

Question Title

* 10. Thank you for your application!  I will respond within 24 hours.  Please share anything else you would like me to know in the textbox and then hit the DONE button below to make sure I receive your responses.

T