Owner Information
Name of Owner
Citizenship of Owner if an individual
Applicant's Legal Status
Sole Proprietorship
Partnership
Corporation
Limited Liability Company
State or Nation of Incorporation
Date of Incorporation
Address
Telephone
Fax
EMail
Name and Title of Individual Owner Contact
Name, Title and Address of Officer or Director who will sign Application
Nature of Business
Text of Mark
Is the mark text alone, a design alone, or stylized text (text with a design)?
Design Only
Text Only Text and Design
Description of specific goods and services sold or to be sold by owner using mark.
Class
Current Use
Expected Use
Class
Current Use
Expected Use
Class
Current Use
Expected Use
Is this trademark currently being used in commerce? (If yes, then you must send at
Yes
No
States where the mark is used
Date of first use across state lines
Countries where the owner does business and will consider registration mark.
Does the mark contain any of the following elements? Please check all the apply
Name of an actual person Name of a fictitious person
Portrait of an actual person
Portrait of a fictitious person
Signature of an actual person
Signature of a fictitious person
Major Competitors
Trademark registrations already owned or applied for by the company, including related
Trademarks used but not protected by the company.
Digital Signature
Important - Please review the information for accuracy before submitting. Buy TERMS OF SALE , and authorized PayPal to bill your credit card
