Trademark Services Request Form:

Transcription

1 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: 2a. Indicate whether the Applicant is an individual, partnership, corporation, or other entity: 2b. If an individual, please provide the country of citizenship, and if a corporation or partnership please indicate the state and country of incorporation or organization: 3. Applicant's address (No P.O. Boxes allowed): 4a. Applicant's telephone number: 4b. Applicant's facsimile number: (1 of 5) [05/29/2001 6:00:15 PM]

2 4c. Applicant's Address: 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: 5b. Title: 5c. Telephone Number: 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: 7. Will this mark include a logo or a design? (Note: If "Yes", please send us your logo via fax, mail or .) 8. Please indicate whether you are requesting a federal or a state trademark. If a state trademark, please indicate the specific state: 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: (2 of 5) [05/29/2001 6:00:15 PM]

3 11. Provide a specific description of the goods and/or services to be provided under this trademark or servicemark: 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": (* 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: 14. If you are NOT the applicant, provide the following information about yourself: 14a. Name: 14b. Address: 14c. Phone: 14d. Fax: (3 of 5) [05/29/2001 6:00:15 PM]

4 14e. Click to view our Privacy Statement 15. How did you locate 4trademark.com? If via a magazine advertisement, a personal referral, a link or a search engine please be specific: 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. Which Credit Card: Card Number: *Click one Expiration Date: Name Shown On Card: Billing Address For Card Provide the credit card billing address if different from above: By submitting this form I expressly authorize 4TradeMark.com to bill my credit card for the requested trademark search and/or trademark application preparation services. (4 of 5) [05/29/2001 6:00:15 PM]

5 Copyright TRADEMARK, Inc. All Rights Reserved. The information contained in this document and on this website is not intended as legal advice. Nor shall any attorney/client relationship be created, expressly or otherwise. Legal counsel should be consulted prior to reliance upon the information contained herein. Consult your legal advisor before acting on any information found here, or anywhere else on the Internet. We are not affiliated with any of the organizations or people who have links here, and are not recommending that you use or don't use, their services. Site & Form Design by (5 of 5) [05/29/2001 6:00:15 PM]