Trademark Services Request Form


To request a trademark application and/or a trademark search on our Secure Server, take a few minutes to thoroughly and accurately complete the following form. It is very important to input the requested information exactly as you wish it to appear on the trademark application and final registration papers. Upon completion, go back and check it carefully for errors, omissions, or spelling mistakes. Then click on the button at the bottom of the form marked Submit. 

All information you enter - including credit card information - is held in strict confidence.


* Be sure that your full name and address are
   shown exactly as it should appear on your registration.

The Applicant is the individual or business entity who is the owner of the trademark. Please enter the Applicant's full name, address and other information as follows:

  1.     Applicant's name:
*Required

  2a.  Indicate whether the Applicant is an
individual,  partnership, corporation, or other entity:
*Required

2b. Please indicate the Applicant's State/Country of Incorporation, or if an individual the country of  Citizenship:
*Required

  3. Applicant's Full address  
Street, City, State, & Zip Code
(No P.O. Boxes allowed):
*Required

  4a.  Applicant's telephone number:
*Required

  4b.  Applicant's facsimile number:

  4c Applicant's email Address:
*Required

  4d.  Applicant's web site address, if any:

  5.  Identify the individual who will sign the Application and Declaration on behalf of the Applicant (A corporate  officer must sign for a corporation and a general partner must sign for a partnership)

  5a.  Name:
*Required 

  5b.  Title:
*Required

  5c.  Telephone Number:
*Required

  6.   Provide the name of each trademark or service mark(s) which is the subject of this request. For information regarding the costs associated with registering a U.S. Trademark click here: Trademark Costs.   Simply click "Back" to return to this order form:
*Required

  7.  Will this mark include a logo or a design?
*Required
(Note: If "Yes", please send us your logo via fax, mail or E-mail.)

  8.  Please note that we only offer Federal trademark applications. If you want a State level trademark we can refer you to counsel. If a state trademark, please indicate the specific state:
*Required

  9.   If known, please provide the class number(s)
in which this mark is to be registered:

  10.   Indicate which trademark search you require. You may refer to the Trademark Search for detailed information regarding each search.
To return to this Order Form simply click "Back" when you are finished:
*Required

  11.   Provide a specific description of the goods and/or services to be provided under this trademark or servicemark:
*Required

  12a.  If the Applicant is currently using the mark  (listed in Question 6 above), then please indicate the very first date (month, day and year) that the mark was ever used by the Applicant; However, if
the Applicant is not currently using the mark then please enter "Intend to use":

  12b.  If the Applicant is currently using the mark (listed in  Question 6 above) in interstate commerce*, then please  indicate the date of first use (month, day and year); However, if the Applicant is not
currently using the mark in interstate commerce* then please enter "Intend to use":
*Required
(* Interstate commerce is commerce between at least two states or between the U.S. and any foreign country.)

  13.  If this mark is currently trademarked, for  example in a state or foreign country, please indicate where it is trademarked:
*Required

  14. If you are NOT the applicant, provide the
following information about yourself:

  14a. Name:     

  14b. Address:

  14c. Phone:    

  14d. Fax:           

  14e. E-Mail:    

  15. Which search engine did you use to locate our web site? And using which search term(s)?
*Required

  16. Payment: Please provide us with your credit card information and then click "Submit."  If you wish to pay by other means then simply click the "Submit" button near the page bottom.  

Master Card, Visa, American Express

Which Credit Card:
*Click one

Card Number:

Please click "Continue" to submit the balance of this credit card information.

 


By submitting this form I expressly authorize
TradeMark.com to bill my credit card for the requested trademark search and/or trademark application preparation services.



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Copyright-© 1999 - 2011  1-800-4-TRADEMARK, P.A., . All Rights Reserved.

The hiring of an attorney is an important decision that should not be based solely upon advertisements. Before you decide, ask us to send you free written information about our qualifications and experience. The information contained in this document and on this website is not intended as legal advice, it is intended to provide general information only. While we have done our best to give you useful and accurate information, laws and procedures change often and are subject to interpretation. Legal counsel should be consulted prior to reliance upon the information contained in this web site. Consult a legal advisor before acting on any information found here, or anywhere else on the Internet. Client is solely responsible for any fees and costs in additional to the advertised fee. We are not affiliated with any of the organizations or people who have links here and are not recommending that you use their services. The offices of  1-800-4-TRADEMARK, P.A., dba 4Trademark.com is owned and operated by Richard L. Morris, Jr., Esq., who is licensed to practice law in the States of Florida and Pennsylvania, with offices located at 1000 West Avenue, No. 1114, Miami, Florida (USA) 33139

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