Notice of Copyright Infringement

I certify under the penalty of perjury that I own or am authorized to act on behalf of the owner of the copyrighted work identified below. I believe in good faith that the copyrighted work has been used on your Site without authorization by the owner, its agents or according to law. I ask that you remove or block access to the infringing material.

    Name of Copyright Owner:
    Description of Copyrighted Work:
    Description of Infringing Material:
    Location of Infringing Material:

I can be contacted as follows:

    My Name:
    My Title:
    Company:
    Address:
    Address:
    Telephone:
    Fax:
    Email:

I certify under the penalties of perjury that the foregoing is true and correct to the best of my information, knowledge and belief.

Signed:

Date: