Trademark
Owner Information
Trademark Information
Usage Information
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Your Information
This may be different than the actual owner of the mark. This information is used to contact you. The owner information could be a business such as an LLC.
Name
*
First
Last
*
Last
Email
*
Phone Number
*
Full legal name of the owner of the proposed mark.
If a corporation or LLC, indicate correct legal name and state of formation
If an individual, are you a citizen of the United States?
Yes
No
N/A
Provide mailing address / principal place of business; and official address in state of incorporation, if different for corporation/LLC.
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