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Requirements

A. Information Required

1- Title of work _________________________________________________.

(Previous title, if any)_______________________________________________.

2- Author(s): (Individual or corporate creator of work, or employer for whom work Prepared)

Name ________________________________________________.

Citizenship ______________________________________________.

Domicile _______________________________________________.

Anonymous __________________ or Fictitious Name_____________.

Contribution (i.e. entire work, words, music, etc) _________________.

3- Year of Creation (Completion) __________________________________.

4- Publication (if any, namely distribution of copies to public for sale lease, etc...or offering to distribute copies to a group of persons for further distribution)

Full date _______Month _______Day _______Year ________ Country _________.

5- OWNER: (Author or person obtaining ownership from author. See 2 above.)

Name_____________________ Address ___________________________

How Acquired (Assignment. etc.) _____________________________________

6- If derivative work advice of per-existing material incorporated therein, and/or material added to prior work _____________________________________________.

7- If literary work in English List names of manufacturers and please of manufacturered (Note If not manufactured in U.S. or Canada, customs import statement may be required) ______________________________________________.



1. Provide for filing (will not be returned by Copyright Office)

*
If unpublished work - one copy (best copy available)
*
If published work (see paragraph 4 above) two copies (best copy available)
*
If three dimensional work (ceramics, carvings, models etc) color photographs at least 3x3 inches and no larger than 9x12 inches showing work.

B. Material Required

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