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)    

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