Trademark4

TRADEMARK QUESTIONNAIRE

Please fill out as much of this questionnaire as possible. Your responses will help us determine the most effective approach in preparing and filing your trademarkapplications. Fields with an asterisk (*) are required.

Valid Attachment Types: *.zip, *.rar, *.txt, *.doc, *.jpg, *.png, *.gif, *.docx
PROPOSED TRADEMARK(S) *attach photo or image in ".jpg" format where applicable:
Attach File:
Full legal name of the owner (i.e. individual or company) of the proposed mark.: *
If a corporation, indicate correct legal name and state of incorporation. (If originally used by a predecessor organization, state its name and relationship):
If an individual, are you a citizen of the United States?
Employer Identification Number (i.e. Federal Tax Identification Number) and official address in state of incorporation, if different:
Your Phone Number: *
Your Fax Number:
Your Email: *
Name and title of individual who will sign the Trademark Application:
Nature of business. (Please describe in detail and attach any brochures, catalogs, or other descriptive literature that will help us to better understand anyunique aspects of the business):
Countries and States where you currently do business and/or where you intendto do business (please specify each) *If you currently do or intend to market yourproducts and/or services throughout the U.S., without limitation, then "United States" is an appropriate response:
Is the legal record owner of the trademark (check one):




Has the mark already been used commercially in connection with eithergoods and/or services?
If yes, for what goods and/or services? If no, what is the anticipated date it willbe used?
What goods and/or services are intended to be offered in connection withthis trademark? (List goods/services which are currently intended as well as possible long-range plans for expansion to additional goods/services):
Date of first commercial shipment across state lines of the goods or servicesbearing the trademark:
If there were any earlier commercial uses within a single state, supply that date:
Manner in which the trademark is used or is intended to be used (e.g. on tagsor labels, on containers, impressed on goods themselves, website, videos, marketing material, etc.). *SINCE THIS IS A SERVICE BUSINESS WE WILL NEED DIGITAL IMAGES OF THETRADEMARK AS IT IS USED IN VARIOUS ASPECTS OF THE BUSINESS:
Attach File:
Please provide us with at least five (5) labels or tags used in connection with the goods or services, if applicable:
Will the mark appear in logo or design form? If so, please attach a high quality.jpg image of the logo or design:
Attach File:
Will any other marks, slogans, designs or distinctive packaging ever be used with the mark? If so, please describe in detail:
Please attach any actual or proposed marketing material, advertisements,brochures, handbills, invoices, letterhead or packaging design:
Attach File:
Are there any plans to use the mark outside the U.S. If so, when? For whatgoods or services?:
With regard to evidence of use in commerce and/or proposed use,photographs (.jpg images preferred) of labeled goods or services showing thetrademark as actually used on the product or services are also acceptable, as are containers bearing the trademark. For internet services, screen shots, or print-outs, showing the mark as displayed are acceptable. If you are registering goods or services in more than one class, or category, there must be specimens for eachclass.:
Attach File:

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