American Comiket Submission Form ________________________________ Fill out this form completely and include it with a copy of the doujinshi you are planning to sell. Use N/A to designate areas which are not applicable. Please note mandatory items are marked with a star (*)- these fields MUST be completed for consideration. All of sections B and D are mandatory. If you have any questions, please email ACinfo@umbrellastudios.com. Mail submissions to: American Comiket c/o Liz Cheng 441 S. First #101 Ann Arbor, MI 48103 A. CONTACT INFO this information is retained for American Comiket's records only, and will not be given out. American Comiket will only use this information to reach you about your submission. Name*:________________________________________________________ Preferred Handle/Pen name (if any): __________________________ Email: _______________________________________________________ Address*: ____________________________________________________ ______________________________________________________________ If you wish to have your doujinshi returned to you, please include a self-addressed, stamped envelope. B. SUBMISSION INFO* Title of Doujinshi: __________________________________________ Series (if fan work): ________________________________________ Is this a single issue of an ongoing series or limited series, or a one shot? If one issue out of a series, what number is it? ______________________________________________________________ Number of Pages:______ Selling Price:$________ (US dollar) Rating: G PG PG-13 R NC-17 (if you do not give a rating, one will be assigned to you by the staff.) How many pages do you wish to have up as a preview? _______ Do you have any reviews you can provide American Comiket regarding your doujinshi? If so, attach along with the reviewer's name, and a brief statement of his/her background in yaoi/shonenai comics or anime. Brief Description/Teaser: ____________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ (if you need more space, write on an attached paper) C. ORDERING INFO Do you want the buyer to contact you via (circle all that apply)*: EMAIL REGULAR MAIL OTHER ______________ if differing from the information in part A, please tell us: email that buyer can order through/get more information: _______________________________________________________ address that buyer can order through/get more information: _______________________________________________________ _______________________________________________________ URL where buyer can go to get more information: http://________________________________________________ (if you do not supply the above, your answers from part A will be used.) What is your average turnaround time? ________ days from recipt of money to doorstep. Do you wish to have buyers supply proof of legal age? (suggested for comics rated R and above) Y N Do you have any other ordering information/instructions for the buyer? _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Please write any additional comments on the back, or on an attached sheet of paper. D. ADVERTISING AGREEMENT* Please read this carefully and sign below. I hereby agree to allow American Comiket to review and advertise my product. I allow them the right to scan and post the above stated number of pages for advertising purposes, and the right to scan and post the doujinshi in its entirety on a private site for review purposes ONLY. I understand that I am responsible for all sales and all transactions made, and that American Comiket, Umbrella Studios, Aestheticism and Passionate Kiss can not and will not handle any complaints or sales transactions for me. I understand that American Comiket is an advertising forum only, and absolve them of any legal responsibility related to my product. signed, X________________________________________ date _____/_____/_____