Trademark & Brand Name Registration Order Form

What would you like to protect? (Select one category. If you would like to trademark multiple categories, please place one order per category) *

Business name or brand name
Stylized special form (Logo): Mark includes a design or word(s) combined with a design, or is displayed in a particular font style, size, and/or color
Slogan

What name to trademark (Please provide multiple option for availability): *

Does your mark include a living person’s name—even if a stage name or pseudonym or could it be perceived to include a person’s name? *

Yes
No

If your answer is yes to above question, does your mark include a name (including a pseudonym, nickname or stage name) that is yours? (If your answer is no to above question, please select "Not Applicable")

Yes
No
Not Applicable

If your answer to above question is "No", what is the name of the living person in your mark?

Does your mark include any words other than English or non-Latin characters? *

Yes
No

If yes, please provide the English translation or transliteration of any non-Latin characters or non-English words:

Are you currently using your trademark to provide products or services to consumers (Your trademark won’t register until you provide proof of use): *

Yes
No, but tend to use in the future

1. If yes, first use anywhere (mm/dd/yyyy)

1. If yes, first use in commerce (mm/dd/yyyy)

Please describe, in as much detail as possible, your business and the goods or services that are/will be offered under your brand. *

Who will own the trademark *

Organization - Business entity, such as an LLC or corporation
Individual (skip question 12a. to 12e.)

12a. Organization Formation:

US Based
Non US Based

12b.Organization Type (LLC or others):

12c. State of Formation if US Based or Country of Formation if Non US Based:

12d. Company information (Each line please provide incorporation address including state & country, website, phone number) *

12e. Position:

12f. Name *

First

Last

12g. Citizenship:

12h. Email *

12i. Other individual information, including address & phone number: *

Trademark Service Order Form