Notice of Infringement

Date: __________________________

Attn: John Jenco
10130 Mallard Creek Rd., Suite 300
Charlotte, NC 28262 USA

Dear Mr. Jenco:

I, the undersigned, CERTIFY UNDER PENALTY OF PERJURY that I am the owner or an agent authorized to act on behalf of the owner of certain intellectual property rights, said owner being named ______________________________________________________________________________________
("IP Owner"). I have a good faith belief that the materials identified below are not authorized by the above IP Owner, its agent, or the law and therefore infringe the IP Owner's rights. Please act expeditiously to remove or disable access to the material or items claimed to be infringing.

Location of infringing material: ______________________________________________________________

Description of infringing material: ____________________________________________________________

Description of the copyrighted work you claim is infringed: _______________________________________
I may be contacted at:

Printed Name: __________________________________________________

Title & Company: ________________________________________________

Street Address: _________________________________________________

City and State: __________________________________________________

Zip: ___________________________________________________________

Email (correspondence): __________________________________________

Telephone: _____________________________________________________

Fax: __________________________________________________________

Date: __________________________________________________________



(printed name)

Last Updated August 2010.