5-Star Exposure Submission Form

begin... *do not type the date; use the calendar provided so that your date is submitted in the correct format
end... *do not type the date; use the calendar provided so that your date is submitted in the correct format

I understand that my eBook must be enrolled in the Amazon KDP Select program. *
I understand that if I falsely claim that my eBook is enrolled in the Amazon KDP Select program, and I submit this form knowing that my eBook is not enrolled in the Amazon KDP Select program, my email and IP addresses will be blocked, and the eBook title I submit will forever be ineligible to appear on the eBook Blitz, even if I later enroll my eBook in the Amazon KDP Select program.Yes, I understand.
I understand that if there is an active free download event for my eBook when I submit this form, then the event I'm submitting now will not begin until after the active event is completed. *
I understand if I want to advertise a current and future event(s), then I need to purchase two (or more) campaigns. Events cannot overlap for the same book.Yes, I understand.
I understand that if my book cover and/or book title contain profanity, racial epithets, excessive nudity or anything else that would be deemed inappropriate for children to see, my book will not be listed on the site. *
eBook Blitz reserves the right to refuse to promote any book it finds inappropriate for the purposes of its business model.Yes, I understand.

Email *(never shared with the public; only used to send you a confirmation email)

ASIN: *
just the 10-character ASIN; not the full link
Book title *
Author's Name as it appears on the book cover *
Upload your book cover in PNG or JPG format *
Do not upload an image from Amazon that has the "Look Inside" overlay attached to it.
What do I do if the only decent image of my book cover I can find is the one on Amazon with the "Look Inside" overlay on it? Not all the Amazon sites use the "Look Inside" overlay on the larger images. If you go to your book listing on the Amazon Canada site, http://amazon.ca, and click on the smaller image, you will get a larger image that doesn't include the overlay. Save that image and attach it to this form.

I understand that once my event is listed live on eBook Blitz, there are no refunds under any circumstances. *
This means that if you accidentally enter the wrong dates for your free download event, you will be required to submit this form and pay again to have your promotion run on the proper days. Please verify your dates below.Yes, I understand.

begin... *do not type the date; use the calendar provided so that your date is submitted in the correct format
end... *do not type the date; use the calendar provided so that your date is submitted in the correct format
Why do I have to enter my dates again? This is a hassle. Simply put... it will be even more of a hassle if you accidentally entered the wrong dates above, and your free event doesn't run on the correct dates and you can't receive a refund because the error was on your part. Please indulge us and re-enter your dates, so you and we know that your dates are definitely correct. Thanks.

After you click submit below, you will be directed to PayPal to make your payment. Please do not close your browser until you have been redirect to PayPal. If the redirect does not happen about ten (10) seconds after you submit this form, then contact us immediately to let us know.