DRAFT FOR

Continuation Form  · COMMENTS

Form RE⁄CON
5
For Renewal Registration  ·  United States Copyright Office
Registration number

Effective date of renewal registration

mm dd yyyy
complete only the spaces that apply to your claim.
form re⁄con rec’d:

do not write above this line. page _  of _ 

A Title at line 1a of Form RE:

B Continuation of title in line  ò 1a  ò 1b  ò 1c:

C Additional original copyright claimants (line 1g):

D Additional authors who contributed to the work or material claimed (line 2b)

Name:  This author created: 

Date of death, if applicable: 
(mm/dd/yyyy )

Name:  This author created: 

Date of death, if applicable: 
(mm/dd/yyyy )

Name:  This author created: 

Date of death, if applicable: 
(mm/dd/yyyy )

Name:  This author created: 

Date of death, if applicable: 
(mm/dd/yyyy )

E Additional statutory claimants (line 3a)  ( Number each entry consecutively.)

Name:  as the: 

Address:  ◊ or ÿ  Year of death: 

Name:  as the: 

Address:  ◊ or ÿ  Year of death: 

Name:  as the: 

Address:  ◊ or ÿ  Year of death: 

Name:  as the: 

Address:  ◊ or ÿ  Year of death: 

form re⁄con  rev: 04 ⁄ 2007  print: 04 ⁄ 2007 — xx,000  Printed on recycled paper u.s. government printing office: 2007-330-945 ⁄ 60,xxx