What is the type or style of the design for which registration is sought?
Provide a brief general statement setting forth the salient features of the design.
If this design is derived from an earlier design, explain how that design has been revised, adapted, or rearranged.
A
DO NOT WRITE ABOVE THIS LINE. FOR COPYRIGHT OFFICE USE ONLY.
17 USC §1327. Penalty for false representation. “Whoever knowingly makes a false representation materially affecting the rights obtainable under this chapter for the purpose of obtaining registration of a design
under this chapter shall pay a penalty of not less than $500 and not more than $1,000, and any rights or privileges that individual may have in the design under this chapter shall be forfeited.
Identification
of
Application
IDENTIFICATION OF CONTINUATION SHEET: This is a continuation of the application for copyright registration on
Form D-VH. Identify the title of the work as it appears in Space 1 (i.e., make and model of the vessel) of Form D-VH:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Continuation
of Space 2
(2a)
(2b)
(2c)
Form D-VH
CON
3
For Vessel Hull Design
UNITED STATES COPYRIGHT OFFICE
REGISTRATION NUMBER
DATE OF REGISTRATION/PUBLICATION
CONTINUATION SHEET RECEIVED
ò
Check here, if using for multiple designs: Fill in Space A
ONLY
with new information regarding additional designs. All other information must be
identical to the information on the corresponding Form D-VH. Use an additional Form D-VH
/
CON for each design included in the registration.
Design
__
of
__
designs.
ò
Check here, if you are using the continuation sheet for supplemental information regarding the original design.
B
Continuation of (check which):
ò
Space 3
ò
Space 4
ò
Space 5
ò
Space
__
Continuation
of Spaces
Other than
Space 2
form dvh/con rev: 07/2006 print: 07/2006 Printed on recycled paper U.S. Government Printing Office: 2006-xxx-xxx ⁄ xx,xxx
Name
Number/Street/Apt
City/State/Zip
MAIL
TO
Certificate
will be
mailed in
window
envelope
C
Address for
return of
certificate
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:
Dept D-VH
Vessel Hull Registration
PO Box 71380
Washington, DC 20024-1380