DMCA Infringement Notification

This form is used to notify (mt) Media Temple, Inc. of an alleged customer violation of the Digital Millennium Copyright Act (DMCA). For information regarding our DMCA policy, visit http://www.mediatemple.net/legal. To file an infringement notice with us, you must provide a written communication to us by fax or mail with the specified information below. Please fax the information to 1.310.943.3559.

Section I: Contact Information

Please provide the name, address, telephone number and physical or electronic signature of a person authorized to act on behalf of the owner of the allegedly infringed material.

Full Name: Address: Address line 2: Daytime Phone: Evening Phone: Email Address:

Section II: Original (infringed) Material

Identification of the copyrighted work claimed to have been infringed.

Section III: Alleged Infringing Material

Identification of the material that is claimed to be infringing along with its location in sufficient detail.

Section IV: Statement of Infringement

A statement by the complaining party that it has a good faith belief that the use of the material in the manner complained of is not authorized by the copy write owner, it's agent, or the law.

Section V: Certificate

A statement as to the accuracy of the notice, under penalty of perjury, that the complaining party is authorized to act on behalf of the owner of an exclusive right that is allegedly infringed:

By signing below, I ,under penalty of perjury, certify that I am authorized to act on behalf of the owner of the copyrighted material identified under “Section II” of this document and, to the best of my knowledge, all of the information provided above is accurate.

Signature: Date: