Free formGATT_CON.pmd - Federal

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