The Habitual Reader Profile

Here is your chance to create a Habitual Reader Profile. You will be asked to include your name, a brief description of what makes you a Habitual Reader and a list of ten books that mean something to you.

Please fill out the following form. All required fields are indicated with a *. When you have completed the form, please click the "Send Profile" button. You will then be provided with the link to email a JPEG headshot to be included with your profile (optional). When you send a picture, be sure to include your full name in the subject line.

	BASICS
* Name:
* Email:
City:	* State:
* Vocation/Avocation

	WEBSITE LINK (Optional)
	We will post links to websites at our discretion. Links to noncommercial sites will go up when provided as long as those sites don't support pornography or hate propaganda. Commercial sites are defined by shopping cart technology, affiliate links and other means by which to accomplish sales. If your link is to a commercial site, a site staff member will contact you.
URL:

	HEADSHOT (Optional) Please check [X] below.
	Please email us a JPEG image to be posted with your profile. You may post any picture that does not include pornography or any other material that may be deemed offensive. Check the statement below to let us know you'll send a picture.
	I certify I have the right to distribute the emailed image and that it is not pornography.

	WHAT MAKES YOU A HABITUAL READER?
	* Please describe in 1500 characters or less what makes you a Habitual Reader:

	YOUR LIST OF TEN
	Please list your top ten favorite fiction titles in a category of your choosing. For example: “Top Ten Children’s Books for Adults,” “Top Ten Books to Read Before You Turn Fifty,” or “Top Ten Dark Mystery Thrillers.” If possible, please include the author and/or a brief explanation of why you chose each title.
* Top Ten:	(Make up a category!)
1: * Title:	Author:
Tell us Why:
2: * Title:	Author:
Tell us Why:
3: * Title:	Author:
Tell us Why:
4: * Title:	Author:
Tell us Why:
5: * Title:	Author:
Tell us Why:
6: * Title:	Author:
Tell us Why:
7: * Title:	Author:
Tell us Why:
8: * Title:	Author:
Tell us Why:
9: * Title:	Author:
Tell us Why:
10: * Title:	Author:
Tell us Why:

	If you work in the book industry, we would like to know more about you. Please check [x] all that apply. (For internal use only.)
	Advertising Agent Author Bookseller Copy Editor
	Consultant Distributor Editor Graphic Designer
	Marketing Media Publicist Publisher Retail
	Reviewer Wholesaler Writer
	Other:
	Yes, alert me when there is new content on the home page and other exciting news from the Parrot.



DISCLAIMER The content published on the Habitual Reader website does not necessarily reflect the opinions of KOMENAR Publishing or any of the persons employed by KOMENAR Publishing. KOMENAR Publishing reserves the right to edit all submitted materials and may choose to refuse to post at its discretion. It will take time to process your submission. Check back to view your profile online at www.habitualreader.com. Remember: We need a JPEG headshot photo of yourself for your Profile. The link to email it will be provided after you click the "Send Profile" button. USER AGREEMENT In submitting this form, you are agreeing to KOMENAR Publishing's Terms & Conditions as listed on this website.

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