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Notice of Claimed Infringement or Violation of Rights

Date: _____________

MakerBot Industries, LLC
1 MetroTech Center
21st Floor
Brooklyn, NY 11201
Attn: Content Agent

Dear Sir or Madam:

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, said owner being named ____________________________________________ ("Owner"). I have a good faith belief that the materials identified below are not authorized by the above Owner, its agent, or the law and therefore infringe or violate the Owner's rights. Please act expeditiously to remove or disable access to the material or items claimed to be infringing or violating Owner's rights.

Location of infringing or unauthorized material: ______________________________________________________

Description of infringing or unauthorized material: ____________________________________________________

Description of the work you claim is infringed or the right you claim is violated: _____________________________

I may be contacted at:

Printed Name: ___________________________________________________________

Street Address: __________________________________________________________

City and State: ___________________________________________________________

Zip: ____________________________________________________________________

Email Address: ___________________________________________________________

Telephone Number: _______________________________________________________

Fax Number : ____________________________________________________________

Date: ___________________________________________________________________



(Printed Name)