author invoice

AUTHOR INVOICE FORM DATE: __________________ Book Title: ISBN: ATTN: ______________________ Project Editor/Acquisitions Editor _____________________________ _____________________________ Check One: SSN or Tax ID: _________ Remit to Agent Name of Agency: ________________ Author:__________________________ Manuscript Submitted is: Submission #: Of: (Total) Page Count Chapter Numbers Amount Due (per contract) $ $ Total Due: $ Check if applicable: Amount due is based on $______ per page. Author Signature: _________________________ Address: ___________________________________ ___________________________________ PE Confirmation: _______________________ AE Confirmation: _______________________ Date: __________ Date: __________ Royalty Author Work for Hire