Applicant's Information
Name *
Enter the
name of the applicant, that is the name of the
individual, corporation or other legal entity owning the mark.
Applicant's Address
Street
address:*
City:*
State:
(where applicable)
Country:*
United States of America
Afganistan
Albania
Algeria
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina-Faso
Cambodia
Cameroon
Canada
Cayman Islands
Channel Islands
Chile
China
Colombia
Cook Islands
Costa Rica
Côte D' Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
England
Estonia
Ethiopia
Falkland Islands
Finland
France
Gabon
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guadeloupe
Guatemala
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kingdom of Tonga
Korea
Kyrgyz Stan
Laos
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia (F.Y.R.O.M.)
Madeira
Malawi
Malaysia
Mali
Malta
Mauritius
Mexico
Moldova
Mongolia
Morocco
Mozambique
Myanmar
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Nigeria
Niue
Northern Ireland
Norway
Oman
Pakistan
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Qatar
Romania
Russia
Saint Vincent/Grenadines
Saint Kitts and Nevis
Saint Lucia
Saudi Arabia
Scotland
Senegal
Sierra Leone
Singapore
Slovakia
Slovenia
South Africa
Spain
Sri Lanka
Sudan
Surinam
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
U. S. Pacific Territories
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vatican City
Venezuela
Vietnam
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Zip or
postal code:*
Phone:*
Fax:
Email:*
Web site
(URL):
Type of legal entity
Individual
Corporation
Partnership
Other
If you
have chosen "Other" please describe the legal entity in this
box:
If you
have chosen "Individual" please specify the country of
citizenship :
United States of America
Afganistan
Albania
Algeria
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina-Faso
Cambodia
Cameroon
Canada
Cayman Islands
Channel Islands
Chile
China
Colombia
Cook Islands
Costa Rica
Côte D' Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
England
Estonia
Ethiopia
Falkland Islands
Finland
France
Gabon
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guadeloupe
Guatemala
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kingdom of Tonga
Korea
Kyrgyz Stan
Laos
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia (F.Y.R.O.M.)
Madeira
Malawi
Malaysia
Mali
Malta
Mauritius
Mexico
Moldova
Mongolia
Morocco
Mozambique
Myanmar
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Nigeria
Niue
Northern Ireland
Norway
Oman
Pakistan
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Qatar
Romania
Russia
Saint Vincent/Grenadines
Saint Kitts and Nevis
Saint Lucia
Saudi Arabia
Scotland
Senegal
Sierra Leone
Singapore
Slovakia
Slovenia
South Africa
Spain
Sri Lanka
Sudan
Surinam
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
U. S. Pacific Territories
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vatican City
Venezuela
Vietnam
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
If you
have chosen either "Corporation", "Partnership", or "Other"
please specify the state or country where the entity was
incorporated or organized:
Mark information
If the
mark you wish to register is composed
only
by a word(s), letter(s), and/or number(s)
enter it here:
If the
mark you wish to register is composed by a
stylized
word(s), letter(s), number(s), and/or a design (logo)
check this box:
Stylized
or design mark
Note: The logo file will be required of you right after payment
of the service fee. Just check the "Stylized or design mark" box
for now.
If your
stylized or design mark includes a literal element (words,
letters and/or numbers), enter it in this box:
Use of the trademark
Note: for
searching purposes information requested in these orange
background cells is not necessary. You can provide it for the
case you want to add the registration service later or at
checkout.
If your mark has been
used in commerce , that is at least between
two states of the U.S.A., or between the U.S.A. and a foreign
government, check this box:
Use in commerce
Date of
first use in commerce :
(mm/dd/yyyy)
Date of
first use anywhere :
(mm/dd/yyyy)
If you
have not yet used the mark in commerce, but you intend to do so,
check this box:
Intent to use
If you
have already filed an application for registration, or you have
obtained registration of the mark at issue in a country other
than the U.S.A., select that country:
Afganistan
Albania
Algeria
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina-Faso
Cambodia
Cameroon
Canada
Cayman Islands
Channel Islands
Chile
China
Colombia
Cook Islands
Costa Rica
Côte D' Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
England
Estonia
Ethiopia
Falkland Islands
Finland
France
Gabon
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guadeloupe
Guatemala
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kingdom of Tonga
Korea
Kyrgyz Stan
Laos
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia (F.Y.R.O.M.)
Madeira
Malawi
Malaysia
Mali
Malta
Mauritius
Mexico
Moldova
Mongolia
Morocco
Mozambique
Myanmar
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Nigeria
Niue
Northern Ireland
Norway
Oman
Pakistan
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Qatar
Romania
Russia
Saint Vincent/Grenadines
Saint Kitts and Nevis
Saint Lucia
Saudi Arabia
Scotland
Senegal
Sierra Leone
Singapore
Slovakia
Slovenia
South Africa
Spain
Sri Lanka
Sudan
Surinam
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
U. S. Pacific Territories
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United States of America
Uruguay
Uzbekistan
Vatican City
Venezuela
Vietnam
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Classes
Select
the
class(es) you wish to register the mark under:
(to select more than one class, press "ctrl" and click on the
classes you intend to apply under. Do not select any class if
you are not sure which one to select)
001 Chemicals
002 Paints
003
Cosmetics and Cleaning Preparations
004 Lubrificants
and Fuels
005 Pharmaceuticals
006 Metal Goods
007 Machinery
008 Hand Tools
009
Electrical and Scientific Apparatus
010 Medical Apparatus
011
Environmental Control Apparatus
012 Vehicles
013 Firearms
014 Jewelry
015 Musical
Instruments
016 Paper
Goods and Printed Matter
017 Rubber Goods
018 Leather Goods
019
Non-metalic Building Materials
020 Forniture and Articles Not Otherwise Classified
021 Housewares and
Glass
022 Cordage and
Fibers
023 Yarns and Threads
024 Fabrics
025 Clothing
026 Fancy Goods
027 Floor Coverings
028 Toys and
Sporting Goods
029 Meats and
Processed Foods
030 Staple Foods
031
Natural Agricultural Products
032 Light Beverages
033 Wines and Spirits
034 Smokers` Articles
035 Advertising
and Business
036 Insurance
and Financial
037
Constructions and Repair
038 Communication
039
Transportation and Storage
040 Material
Treatment
041
Education and Entertainment
042
Computer, Scientific and Legal
043 Hotels and
Restaurants
044
Medical, Beauty and Agricultural
045 Personal
Goods and Services
List the goods and/or services which are, or will be sold under
the trademark :
How did you hear
about us?
Please, select from the drop-down
menu. It will help improve our business.
Select one
Google
Yahoo
MSN
Ask
Social Network
Blog
Promotional Email
Printed Advertisement
Radio
TV
Referral
Please,
enter here the referrer number if you have any, otherwise leave
blank.
By clicking on the "Submit" button below, you declare to have
read and understood our "Disclaimer ",
and the " Fees
schedule "
for this service.
Strict confidentiality is kept over personal data communicated
with us through this form. To know our practices on personal and
financial data management, read our
Privacy Policy .