PCIP Order Form

Please note that it is necessary for our catalogers to have a copy of the title page and verso (back of the title page) of the book being published in order to construct the PCIP block. Please either fax these to (973) 586-3201 or scan and email to cip-info@cassidycat.com.

Instructions

Photocopy the title page and verso (back of the title page) and include with this form.
Provide the table of contents, introductory notes or preface if necessary for complete subject analysis, or if the title is not self-explanatory in terms of content.
Provide the following information:

Book Information Title
Authors, Editors, and Compilers City and State of Publication
Publisher
Copyright Date
Projected Publication Date
ISBN
LCCN or PCN
Edition
Audience
Series

Is there an Index?	Yes No
Is there a Bibliography?	Yes No
Are there Bibliographic References?	Yes No

Brief Summary (including primary subject & intended audience)

Customer Information Name
Company
Billing Address
City State
Zip Code
Contact Phone Number
Contact Fax Number
Contact Email Address
Website

If you experience a problem after submitting this form please feel free to contact us by phone or email at (973) 586-3200 or cip-info@cassidycat.com.