Order Form

  • SECTION 1: REGISTRATION INFORMATION

    Please provide us with the following information regarding the currently registered trademark for which your are requesting a Section 8 - Declaration of Use:
  • SECTION 2: OFFICER INFORMATION

    Please indicate the name, title and phone number of the individual who will sign this Declaration on behalf of the current trademark owner:
  • If different, please provide the trademark owner's new address (otherwise please leave it blank).
  • If different, please indicate any additions or deletions to the current identification of goods and/or services (otherwise please leave it blank).
  • Section 3: Contact Information

    Please indicate the individual representing the trademark owner to be contacted regarding this matter.
  • This field is for validation purposes and should be left unchanged.