Publisher Questionnaire

Concordia Publishing House desires that its materials be translated into many languages so that the Gospel message contained therein may be spread to people throughout the world. Concordia Publishing House seeks to enter into license agreements with Lutheran and non-Lutheran entities for the translation of the works into such languages.

Requestor Information

1. Contact person/representative name and title: *This question is required.

2. Organization: *This question is required.

3. The legal name of your organization (as it would appear in a contract): *This question is required.

4. Address: *This question is required.

5. Street Address: *This question is required.

6. City: *This question is required.

7. State/Province/Region: *This question is required.

8. Postal/Zip Code: *This question is required.

9. E-mail address: *This question is required. This question requires a valid email address.

10. Telephone number: *This question is required.

11. Fax number:

12. Name and title of person responsible for signing the contract: *This question is required.

13. Your publisher’s imprint that shall appear in the translation (if different from above):

14. Your shipping and legal address (if different from above):

15. Please provide your URL/Website address:

16. Is your publishing house affiliated with a specific denomination?

17. In what language(s) do you publish?

18. What year was your publishing organization established?

19. How many new books did you publish last year?

20. How many of the books you published last year were translated from other languages?

21. How many books approximately do you have in print?

22. What countries are your books distributed?

23. USA publishers you have contracted with: