Request

Sampling Request Form

eBookMatrix Publishing Corporation offers free sampling works of archives conversion services for new prospects. If any company or organization is interested in this unique archiving conversion service, please fill out as much relevant information in this Sampling Request Form as possible. Then you may print out a copy of this Sampling Request Form and send along with two acts of sample works to:

            eBookMatrix Publishing Corporation
            Mack-Cali Centre III, NT3
            140 Ridgewood, Paramus, NJ 07652
            Attn. Ms. Ji Li
            Tel: 201-261-3288      Fax: 201-261-3190

You will receive the finished sampling works in email form approximately in one month time.

Contact Information
Company Name
Address
City		State
Zip Code		Telephone
Fax		Email
Contact Person		Title

Type of Organization
Publishers	Manufacturing	Printing Houses
Federal Government	Insurance Companies	Local Government
Hospitals	Accounting Firms	Law Firms
Others (Specify)

Original Data

Journals

a.Leisure

Technical

b.Color

Black & White

c.Text Only

Text/Graphic/Image

How many journals are there ?

How many years of publication are there ?

How many issues/year are there ?

How many pages/issue are there ?

How many pages in total are there ?

Do you want to delete the commercials in the conversion process?

Yes No

Do you want to delete the advertisements in the conversion process?

Yes No

Do you have any special section(s) of the publications? which you want to delete in the conversion process?

Yes No

If the answer is Yes, then please specify the section(s) to be deleted:

Books

a.Literature

Technical

Reference

b.Black &White

Color

c.Text Only

Text/Graphic/Image

With Scientific Notations

How many books are there ?

How many pages/book are there ?

How many pages are there in total ?

Archives Documentation

a.Text only

Text/Graphic/Image

Text/Table/Graphic

b.Black & White

Color

c.Scientific Notations

Hand written notes

How many pages in total ?

Storage Format
Hardcopy	Microfilm	Microfiche
Electronic (Specify)