TRADEMARK INFORMATION FORM



Your NAME:
Your COMPANY (optional):

Your E-MAIL:
Your PHONE NO. (optional):


TRADEMARK (exact spelling):


Any LOGO or GRAPHICS: NO YES

Description of GOODS or SERVICES (list each item - describe item if no generic name exists)


Has trademark been USED yet?: NO YES

          If "YES", DATE when first used (year, month-year, or
         month-day-year)):
        

         If "YES", HOW used (on packaging, on label, on website,
         on literature, etc.):
        


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