4TradeMark.Com: Trademark Services Request Form

Trademark Services Request Form

Name*
First Last
* 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:
How would you best describe the applicant? Please choose one of the following:
Name of owner (individual, corporation, etc.):
Please indicate the Applicant's State/Country of Incorporation, or if an individual the country of Citizenship:
Applicant's Full address Street, City, State, & Zip Code (No P.O. Boxes allowed):
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Applicant's Telephone Number:
Applicant's Facsimile Number:
Applicant's Email Address:*
Applicant's web site address, if any:
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)
Name:
First Last
Title:
Telephone Number:
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.
Will this mark include a logo or a design? If yes, please upload your logo below.
Logo upload:
Drop files here or
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:
If known, please provide the class number(s) in which this mark is to be registered:
Indicate which trademark search you require.
Provide a specific description of the goods and/or services to be provided under this trademark or servicemark:
If the Applicant is currently using the mark (listed 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":
If the Applicant is currently using the mark (listed 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":
(* Interstate commerce is commerce between at least two states or between the U.S. and any foreign country.)
If this mark is currently trademarked, for example in a state or foreign country, please indicate where it is trademarked:
If you are NOT the applicant, provide the following information about yourself:
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
How did you hear about us?
Email
This field is for validation purposes and should be left unchanged.

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