Fill and Sign the Courier Driver Contract Template Form

3 Form ____  ⁄ CON Continuation Sheet for Application Forms UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER This Continuation Sheet is used in conjunction with Forms CA, PA, SE, SR, TX, and VA only. Indicate which basic form you are continuing in the space in the upper right-hand corner. ●  Try to fit the information called for into the spaces provided on the basic form. ●   If you do not have enough space on the basic form, use this Continuation Sheet, and submit it with the basic form. ● f you submit this Continuation Sheet, clip (do not tape or staple) it to the basic form and fold I the two together before submitting them. ● Space A of this sheet is intended to identify the basic application.     Space B is a continuation of space 2 on the basic application. Space B is not applicable to Short Forms. Space C (on the reverse side of this sheet) is for the continuation of Spaces 1, 4, or 6 on the basic application or for the continuation of Space 1 on any of the three Short Forms PA, TX, or VA. ● Privacy Act Notice: Sections 408-410 of title 17 of the United States Code authorize the Copyright Office to collect the personally identifying information requested on this form in order to process the application for copyright registration. By providing this information you are agreeing to routine uses of the information that include publication to give legal notice of your copyright claim as required by 17 U.S.C. § 705. It will appear in the Office’s online catalog. If you do not provide the information requested, registration may be refused or delayed, and you may not be entitled to certain relief, remedies, and benefits under the copyright law. (Month) (Day) (Year) CONTINUATION SHEET RECEIVED Page of pages DO NOT WRITE ABOVE THIS LINE. FOR COPYRIGHT OFFICE USE ONLY IDENTIFICATION OF CONTINUATION SHEET: This sheet is a continuation of the application for copyright registration on the basic form submitted for the following work: ● TITLE: Give the title as given under the heading “Title of this Work” in space 1 of the basic form. Continuation of Space 2 NAME OF AUTHOR ▼ Was this contribution to the work a “work made for hire”? ❑ Yes ❑ No DATES OF BIRTH AND DEATH Year Born▼ Year Died▼ AUTHOR’S NATIONALITY OR DOMICILE { Name of Country OR Citizen of Domiciled in ▼ d ...................................................................................................... ● NAME(S) AND ADDRESS(ES) OF COPYRIGHT CLAIMANT(S) : Give the name and address of at least one copyright claimant as given in space 4 of the basic form or space 2 of any of the Short Forms PA, TX, or VA. ▼ A Identification of Application WAS THIS AUTHOR’S CONTRIBUTION TO THE WORK If the answer to either Anonymous?    ❑ Yes ❑ No of these questions is “Yes,” see detailed Pseudonymous? ❑ Yes ❑ No   instructions. NATURE OF AUTHORSHIP Briefly describe nature of the material created by the author in which copyright is claimed. ▼ AUTHOR’S NATIONALITY OR DOMICILE { Name of Country OR Citizen of Domiciled in ▼ Was this contribution to the work a “work made for hire”? ❑ Yes ❑ No DATES OF BIRTH AND DEATH Year Born ▼ Year Died ▼ ▼ e NAME OF AUTHOR ▼ WAS THIS AUTHOR’S CONTRIBUTION TO THE WORK If the answer to either Anonymous?    ❑ Yes ❑ No of these questions is “Yes,” see detailed Pseudonymous? ❑ Yes ❑ No   instructions. NATURE OF AUTHORSHIP Briefly describe nature of the material created by the author in which copyright is claimed. ▼ Was this contribution to the work a “work made for hire”? ❑ Yes ❑ No DATES OF BIRTH AND DEATH Year Born ▼ Year Died ▼ AUTHOR’S NATIONALITY OR DOMICILE { Name of Country OR Citizen of Domiciled in ▼ f NAME OF AUTHOR ▼ ▼ B PA PAU SE SEG SEU SR SRU TX TXU VA VAU EFFECTIVE DATE OF REGISTRATION WAS THIS AUTHOR’S CONTRIBUTION TO THE WORK If the answer to either Anonymous?    ❑ Yes ❑ No of these questions is “Yes,” see detailed Pseudonymous? ❑ Yes ❑ No   instructions. NATURE OF AUTHORSHIP Briefly describe nature of the material created by the author in which copyright is claimed. ▼ Use the reverse side of this sheet if you need more space for continuation of spaces 1, 4, or 6 of the basic form or for the continuation of Space 1 on any of the Short Forms PA, TX, or V A. CONTINUATION OF (Check which): ❑ Space 1 ❑ Space 4 ❑ Space 6 C Continuation of other Spaces Certificate will be mailed in window envelope to this address: Name t Number /Street/Apt t City/State/Zipt Form CON  Rev: 02 ⁄ 2008  Print: 05 ⁄ 2012 — 60,000  Printed on recycled paper YOU MUST: • Complete all necessary spaces • Sign your application SEND ALL 3 ELEMENTS IN THE SAME PACKAGE: 1. Application form 2. Nonrefundable fee in check or money order payable to Register of Copyrights 3. Deposit Material D MAIL TO: Library of Congress, Copyright Office 101 Independence Avenue SE Washington, DC 20559 U.S. Government Printing Office: 2012-372-842 ⁄ 80,912