The tome seems to be fashioned from some sort of leathery material. It has been formed with fine craftsmanship to appear like the stretched skin of a dark elf's face, eyes and mouth sewn shut with sinewy threads. A thin, but durable chain is stretched around the tome and fastens with an ornate lock. I can place this book in my house.
As of 2/25/2010, if you need this item again after completing The Fleshbound Tome Speaks Again you may purchase it from the Sages in Freeport and Qeynos.