Notification
of Infringement
Please print, fill out and sign the following form completely. Then
mail or fax it to BiggerCity's Registered Agent at the address or
fax shown at the right: |
Dear Copyright Agent,
I hereby certify under penalty of perjury that I am the owner or am authorized
to act on behalf of the owner of the intellectual property rights. I have
a good faith belief that the use of the material identified below has not
been authorized by the owner, its agents or the law. Please promptly remove
the infringing material or disable access to it.
| Name of the Intellectual Property Owner: |
________________________________________ |
| Name and/or type of the Infringed Work or Right: |
________________________________________ |
| Description of the Infringing Material: |
________________________________________
________________________________________
________________________________________ |
Location of the Infringing Material:
(provide ID numbers or specific URLs that
will directly identify the materials in question) |
Website: ________________________________
________________________________________
________________________________________
________________________________________
________________________________________
(continue on a separate page if more space is
required.) |
| Date: |
________________________________________ |
I can be contacted at:
| Name: |
________________________________________ |
| Title: |
________________________________________ |
| Company or Organization: |
________________________________________ |
| Address: |
________________________________________ |
| City, State and Zip: |
________________________________________ |
| Telephone: |
________________________________________ |
| Fax: |
________________________________________ |
| Email: |
________________________________________ |
I certify under penalty of perjury that the information presented here
is accurate and truthful.
________________________________________
Signature
|