INVENTOR(S) NAME (List all inventors separated by commas)
PHONE NUMBER
STREET ADDRESS
EMAIL ADDRESS
TRADEMARK NAME
IS YOUR TRADEMARK A: LogoWord(s)Both
ARE YOU CURRENTLY USING YOUR TRADEMARK(S) IN COMMERCE? (are you currently selling/using goods/services with your trademark on?)
IF YES, PLEASE LIST THE DATE OF FIRST SALE/USE
HOW DO YOU SELL YOUR GOODS/SERVICES
WHERE AND HOW WAS THE TRADEMARK BEEN USED
PLEASE LIST THE TYPES OF GOODS/SERVICES YOU OFFER/PLAN TO OFFER IN ASSOCIATION WITH YOUR TRADEMARK:
OWNER OF MARK
IF OWNER IS NOT AN INDIVIDUAL, PLEASE CHOOSE ENTITY TYPE Limited Liability CompanyCorporationPartnershipLimited PartnershipJoin VentureSole ProprietorshipTrustEstateOther
WHEN WAS THE ENTITY FORMED
OWNER ADDRESS
WEBSITE ADDRESS
SUBMITTER NAME
SUBMITTER EMAIL ADDRESS
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