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Copyright Online Secure Order Form

Federal Copyright Registration  $274.95

ALL Government filing fees are included.
Preparation Time:
Standard Service (Allow 2 weeks for Processing)
Express Service (2 Business Days) Add - $75.00

Shipping and Handling:
Standard - $17.95
Overnight - $30.95

Name of Copyright Material
Previous or alternate names of copyright material If published in a periodical or serial give volume, number, issue date and pages the material appeared on.
Describe copyright item:
(List of copyright examples below)
Was this a work made for hire?  (If yes, Author is the Employer)YES   NO
List of copyright examples:
Author's NameAuthor's Date of Birth
Country of Author's CitizenshipAuthor's Contribution was
Secondary Author's NameAuthor's Date of Birth
Country of Author's CitizenshipAuthor's Contribution was
Additional Author's NameAuthor's Date of Birth
Country of Author's CitizenshipAuthor's Contribution was
Are there any additional authors? YES   NO
Copyright OwnerIf owner and author are different how did owner obtain the rights?
How is this copyright used? (ex. for profit, for information, for marketing, etc...) Date of Creation
Date of First Publication (complete only if work is published)Nation of First Publication (complete only if work is published)

Has registration for this work, or an earlier version of this work, already been made?

YES  NO;
If "yes" why is another copyright being sought?

 

If "yes" Previous Registration NumberYear of Registration
Describe any preexisting work that this work is based on

 

Describe any material added to this work and in which copyright is claimed
Do you give permission for the Library of Congress to reproduce this work for the physically handicapped through copies with Braille or through phonorecords?Braille
Phonorecords
Both
Neither
Name of Person Registering                    Email Address
Telephone Number of Person Registering                       Fax Number
Cell phone number
Primary Address

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