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| This is a redacted version of one of the documents in our document package. The document samples are html version of the rtf files of the actual documents in the package. As such, formatting will not always appear correct in the samples. | ||
Interim Designation of Agent To
Receive Notice
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Interim
Designation of Agent To Receive Notice Of Claimed InfringementFull Legal Name of Internet Service Provider is: [Insert Full Legal Name Here] Alternative Names of Service Provider (including all names under which the service provider is doing business): [Insert all fictitious names, assumed names, and other names under which you are doing business here] Address of Service Provider: [Insert business address of Service Provider here] Name of
Agent Designated to Receive Notification of Claimed Infringement: [Insert Name of Designated Agent Here] Full Address of Designated Agent To Which Notification Should Be Sent (note that a Post Office Box or similar designation is not acceptable except where it is the only address that can be used in the geographic locations): [Insert Full Address of Designated Agent Here] Telephone Number of Designated Agent: [Insert Telephone Number of Designated Agent Here] Facsimile Number of Designated Agent: [Insert Fax Number of Designated Agent Here] Email Address of Designated Agent: [Insert Email Address of Designated Agent Here] _________________________________________ Signature of Officer or Representative of the Designating Service Provider Date: _____________________________ _________________________________________ Typed or printed name and title: NOTE: This Amended Interim Designation Must Be Accompanied by a $20.00 Filing Fee Made Payable To the Register of Copyrights. |
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