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Not to seriously contradict anything that's been said so far, but I'd like to point out another reason to go to some of these services. The daughter of a friend of mine has written 3 short books, and has been encouraged to publish them. However, they simply have not had the time to do any of the legwork themselves, and have finally decided to pay a service that will essentially help them package the book, and create marketing materials for them to use to sell the book. (The service does not include later printing of sales quantities, but they will do that as well).
For those who do not have the resources or ability to do a lot of these post-writing steps--and I think there are quite a few--these services are valuable to them, and may make the difference between writing something no one will see, and something that will actually sell and bring them a following.
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