DO NOT WRITE ABOVE THIS LINE. FOR COPYRIGHT OFFICE USE ONLY.
Form GATT
CON
3
For Restored Works
UNITED STATES COPYRIGHT OFFICE
REGISTRATION NUMBER
TX PA VA SR SRU
CONTINUATION SHEET RECEIVED
Continuation of (check which):
ò
Space 2
ò
Space 4
ò
Space 5
ò
Space
__
Continuation Sheet
B
Continuation
of Spaces
Other than
Space 2
Title of Form GATT:
A
Identification
form gatt/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:
Library of Congress
U.S. Copyright Office
101 Independence Avenue SE
Washington, DC 20559-6000
B
Continuation of (check which):
ò
Space 2
ò
Space 4
ò
Space 5
ò
Space
__
Continuation
of Spaces
Other than
Space 2