KUKA

FORM FOR THE PURCHASE OF BOOKS LICENSES

PLEASE ENTER YOUR DETAILS

1.   Name and surname of the publishing house proprietor:

2.  E-mail address:

3.   Contact phone number:

4.  Name of the publishing house:

5. Website of the publishing house if applicable:

6. Address of the publishing house:

FORM

1. By completing and submitting this online form, you show a desire to establish business contacts with the Author.

2.  We are interested in purchasing a licence for the book marked on your website as No. . The License fee would be €.

3.  If you would be interested in purchasing larger quantities of books please fill in the next column following the previous example (book number and the licence fee for the same) .

4. What would be the annual monetary percentage of the total number of sold books in your country that would be allocated for the author/publisher Kuka Miroslav %. If the license fee for a particular book does not include a percentage of the later sale of that book for the author Kuka Mirosla, please state that in the license fee as well as in words:

All details of the potential business cooperation will be concretized by business cooperation agreement, which the Author will forward to you after you fill in and submit this online form.

Sincerely yours,
Dr Miroslav KUKA




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