declaration

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Address

Email:

Book reviewed

Author

Publisher:
Contact address:

Do you know the author of this book? Yes/No

Do you know the publisher of this book? Yes/No

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Is there any way, other than those mentioned above, that you might have a conflict of interest in writing a review of this book?

(Please note; conflicts of interest can be negative as well as positive.)

Declaration:

I have no conflict of interest in writing this review other than that documented above.

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Date

		The Small Press Review

		A magazine devoted to the English language small presses.

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		Name Address Email: Book reviewed Author Publisher: Contact address: Do you know the author of this book? Yes/No Do you know the publisher of this book? Yes/No Do you have any interest, such as pecuniary or goodwill, in the marketing of this book? Is there any way, other than those mentioned above, that you might have a conflict of interest in writing a review of this book? (Please note; conflicts of interest can be negative as well as positive.) Declaration: I have no conflict of interest in writing this review other than that documented above. Signed Date