If the work has multiple authors or editors, please reproduce this form and provide the following information for each author. A résumé may be submitted for items 5-8.

1. Author's full name, including appropriate titles:

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2. Author's address: __________________________________________________________

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Home phone:________________________________Work phone:_____________________

E-Mail address:______________________________________________________________

3. The following information is required for copyright purposes:

Author's place of birth:_____________________________________________________

Author's date of birth: _____________________________________________________

Is the author a U.S. citizen?_________________________________________________

4. Author's current occupation (please provide the name and location of employer, job title, and a brief job description):

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5. Significant past employment, including positions author has held that would be of interest to readers of the book.

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6. Other books by author (please include title, publisher, date of publication, and a statement about the work):

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7. Periodicals/journals in which the author's work has appeared (please include title, date, and a brief summary of the article):

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8. List organizations or associations of which the author is a member (please include offices held and dates of office):

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