eBookstand Copyright Registration Form
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Date: |
(1) |
Title of this work: |
(2) |
Previous or Alternative Titles: |
(3) |
Publication as a Contribution: |
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(a) |
Is this Publication was a contribution to
a collective work, give the title of the collective work: |
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(b) |
If this Publication was published as a periodical give
the title, volume, number, issue date and the page numbers in which
the publication appeared: |
(4) |
Name of the Author: |
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(a) |
Author's date of birth: |
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(b) |
Author's date of death (if applicable): |
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(c) |
Author's Citizenship: |
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(d) |
Author's present address: |
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(e) |
City, |
State, |
Zip Code |
(5) |
Was the author's contribution to the work
anonymous or pseudonymous? |
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Yes |
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No |
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(Note: an author's contribution to a work is anonymous
if that author is not identified on the copies or phonorecords of
the work. An author's contribution to a work is "pseudonymous"
if that author is identified on the copies or phonorecords under a
fictitious name. If the work is anonymous you may state "anonymous"
or give the author's true name. If the work is pseudonymous you may
give the pseudonym and identify it as such (example: John Day, pseudonym)
or reveal the author's name, making clear which is the real name and
which is a pseudonym (for example, "John Day whose pseudonym
is Joe Blow") |
(6) |
Was the author's contribution a "work
made for hire"? |
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Yes |
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No |
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(Note: a "work made for hire" is defined as
(1) "a work prepared by an employee within the scope of his or
her employment"; or (2) " a work specially ordered or commissioned
for use as a contribution to a collective work, as part of a motion
picture or other audio visual work, as a translation, as a supplementary
work, as a compilation, as an instructional text, as a test, as answer
material for a test, or as an atlas, if the parties expressly agree
in a written instrument signed by them that the works shall be considered
a work made for hire. If you have answered "yes" that the
work was made for hire, you must give the full legal name of the employer
or other person for whom the work was prepared. You may also include
the name of the employee along with the name of the employer (e.g.
"Elster Publishing Co., employer for hire of John Ferguson"). |
(7) |
Nature of Authorship: Give a brief general
statement of the nature of this particular author's contribution to
the work. Examples: "Entire text"; "Co-author of entire
text"; "Chapters 11-14"; "New text".) |
(8) |
Year in which creation of this work was
created: |
(9) |
Date of first publication of this work:
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(10) |
Nation where the work was first published:
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(11) |
Copyright claimant(s): (Give this information
even if different from the authors' information given in question
4 above. |
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(a) |
Name(s) of all claimants: |
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(b) |
Address(es) of all claimants: |
(12) |
Explain how transfer of copyright ownership
occurred if the authors in question 4 are different from the claimants
listed in question 11. (e.g. if transfer occurred by written contract
state "written contract): |
(13) |
Has a previous registration for this work
or for an earlier version of this work already been made in the Copyright
office? Yes____ No____
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(a) |
If your answer is "yes" why is
another registration being sought? (check appropriate reason): |
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(i) |
This is the first published edition of a work previously
registered in unpublished form. |
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(ii) |
This is the first application submitted by this author
as copyright claimant. |
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(iii) |
This is a changed version of the work. |
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(b) |
If your answer is "yes" give the
previous registration number and year of registration here: |
(14) |
Identify any preexisting work or works that
this work is based on or incorporates (if applicable): |
(15) |
Give a brief , general statement of the
material that has been added to this work and in which copyright is
claimed (if applicable) : |
(16) |
Correspondence: Please give the following
information |
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(a) |
Name and address where correspondence regarding
this application should be sent: |
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(b)
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Area code and phone number: |
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Any question concerning copyrights should
be directed to the office bellow. |
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Please complete the above form and mail
to the following address with a check for $199 |
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Law Offices of John P. Costello
Wong Legal Suite
331 J Street Suite 200
Sacramento, CA 95814 |
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Telephone (916) 441-2234 |
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Fax (916) 922-8691 |
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Email: patents@cwnet.com |
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Final Note: A copyright registration takes approximately six
months to issue under normal procedures. Your registration will
be mailed to the correspondence address given.
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