ASSIGNMENT OF COPYRIGHT

KNOW ALL MEN BY THESE PRESENTS, the undersigned assignor,

Name: Address: Telephone: for and in consideration of the sum of ___________ ($X.00) and other
valuable consideration, receipt of which is hereby acknowledged, does hereby assign, transfer and
set over to the assignee, Name:
Address:
Telephone:
it's successors and assigns forever, all of its rights , title and interest in and to the musical composition
now entitled:
written and composed by _____________________________ together with any and all assignor's
existing copyrights therein throughout the United States and the world, and any and all assignor's
rights of every kind, nature or description attaching to or which may attach to said musical
composition and/or embraces or included in the copyright thereof in the United States and entire
world, which said composition the undersigned was originally assigned on _____________, 199_,
and was registered with the Copyright Office of the United States of America on
_________________________, under Copyright Entry, Class E, Copyright Number
________________. The form U registration is registered on ___________________ in Volume
_________________, page __________.
IN WITNESS WHEREOF, the undersigned has executed the foregoing instrument on this
_____________ day of ________________ 199_.
ASSIGNEE: By: _________________________
WITNESS: By: _________________________
Name ___________________________
Address ___________________________