Additional Authors

Please complete and submit this form for each additional author.

Additional Author Information

IAR Order Number Please insert your IAR Order Number here so that we can match your mark information to your order.

Additional Author Information

Please list the name of the work *
Please list the name of the author listed on the main page of the questionnaire. *This is to make sure the additional authors are matched with the correct questionnaire.
What is the name of the work's additional author? *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Telephone Number *
Fax Number:
E-mail address: *
What is the author's birth date? *
What is the author's date of death? If the author is still living, leave this blank.
What is the author's country of citizenship? *
What did the author contribute to this work? *
For musical compositions, options are: music, lyrics, or music and lyrics. For sound recordings, options are: sound recording, performance, and production. If you are registering both the composition and sound recording, you can list any of the above options that apply.
Is the author's contribution to the work a "work made for hire?" *
A “work made for hire” means that even though you composed the work or performed on it, someone else (either your employer or someone you have a contract with) will own the work.YesNo
Is the author's contribution anonymous? *
If author’s contribution is anonymous, the author’s name will not be listed on copies of the work.YesNo
Is the author's contribution pseudonymous? *
If author’s contribution is pseudonymous, the author will be identified on copies of the work using a fictitious name.YesNo
If you answered "yes" to the previous question, please list the fictitious name that will be used? If you answered "no" to the previous question, leave this space blank.

Verification

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