Continuation Sheet
3 Form GATT ⁄ CON
For Restored Works
UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER TX PA VA SR SRU C O N T I N UAT I O N S HE E T R E C E I VE D
DO NOT WRITE ABOVE THIS LINE. FOR COPYRIGHT OFFICE USE ONLY.
A
Identification
Title of Form GATT:
B
Continuation of Spaces Other than Space 2
Continuation of (check which):
ò Space 2 ò Space 4 ò Space 5
ò Space __
Continuation of (check which):
ò Space 2 ò Space 4 ò Space 5
ò Space __
B
Continuation of Spaces Other than Space 2
MAIL TO Certificate will be mailed in window envelope
Name
Number/Street/Apt
City/State/Zip
YOU MUST: Complete all necessary spaces SEND ALL ELEMENTS IN THE SAME PACKAGE: 1 Application form 2 Nonrefundable filing fee in check or money order payable to Register of Copyrights MAIL TO: Library of Congress U.S. Copyright Office 101 Independence Avenue SE Washington, DC 20559-6000
C
Address for return of certificate
form gatt/con
rev: 07/2006
print: 07/2006
Printed on recycled paper
U.S. Government Printing Office: 2006-xxx-xxx ⁄ xx,xxx