COPYRIGHT APPLICATION PRICE QUOTE

FREE ESTIMATE

Call 561-235-0725, or fill out the form below for a

CONFIDENTIAL INSTANT QUOTE ESTIMATE FOR A

COPYRIGHT APPLICATION

by copyright attorney, Peter A. Koziol, Esq.

Are you the: claimant/Owner author Both Not Sure

[?]

Please enter your e-mail address:

Please enter your telephone number:

Please enter the title of the original work of authorship:

[?]

Please check each box that is appropriate:

The work is a work for hire created within the scope of employment.

[?]

The work was part of a specially commissioned work for hire subject to a written work for hire agreement.

[?]

I do NOT understand the two previous checkboxes.

[?]

Please enter the full name of the primary author:

[?]

Please enter the address of the primary author:

[?]

City	State	Zip

Please enter the full name and address of each co-author:

[?]

Please enter the full name of the claimant:

[?]

Please enter the address of the claimant:

[?]

City	State	Zip

Please enter the full name and address of each additional claimant:

[?]

Please enter any cross-references to related works:

[?]

Please enter any statement regarding sponsored research or development:

[?]

Please select a file of the best electronic copy of the original work of authorship that you wish to apply to register:

[?]

Please enter a description of the deposit copy:

[?]

Please enter a description of the appearace of portions of the work that are not included in the deposit:

[?]

Please enter a description of portions of the work that are disclaimed:

[?]

Please enter any additional notes or special requests:

[?]

Still not sure? No sweat! Call lawyer Peter A. Koziol, Esq. at 561-235-0725 for a FREE initial consultation!

Want to know more about attorney Peter A. Koziol? Visit his web page at WWW.KOZIOLLAW.COM

Boca Raton

Fort Lauderdale

Miami