Month Day, Year
Sender Information:
Organization Name
Your Full Name, Title
Your Contact Email Address
Your Phone & FAX Number
Your Mailing Address
City State Zip
Recipient Information:
FutureQuest, Inc.
C/O Copyright Agent for Notice of Claims of Copyright Infringement
Sent via: FAX and Postal Mail (or Email etc...)
DMCA Notice of Copyright Infringement
re: [http://example.com (IP 1.23.45.67)]
Dear FutureQuest, Inc.
I, [Your Full Name Organization Name & Title], certify under penalty of perjury, that I am an agent authorized to act on behalf of the owner of certain intellectual property rights.
I have a good faith belief that the items or materials listed below are not authorized by law for use by the above named domain name owner or their agents and therefore infringes the copyright owner's rights. I hereby demand that you act expeditiously to remove or disable access to the material or items claimed to be infringing.
My contact information is as follows:
Organization Name
Your Full Name, Title
Your Contact Email Address
Your Phone & FAX Number
Your Mailing Address
City State Zip
Allegedly Infringing items or materials:
[list in detail]
Infringing material that I demand be disabled or removed in consideration of the above:
[List IN DETAIL the URLs and work(s) you are requesting FutureQuest remove or disable]
Location of ORIGINAL WORKS:
[your website URL or other location showing the original works in use]
My actual or electronic signature follows:
Sincerely,
/s/ Your Full Name
Your Title
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