Use this form to complete your Trademark Application purchase Please fill out the form below as detailed as possible * indicates required field If TM is owned by a BUSINESS Name of Company: Corporate Form (Partnership, LLC, Corp., etc.): State if Incorporation/Organization: If TM is owned by an INDIVIDUAL: Name: Citizenship: Address: Telephone: Web Site: Email:* Trademark(s) to be Protected: (If trademark is a logo, please describe and attach a copy) Attachment: Acceptable file types: pdf,gif,jpg,jpeg,png.Maximum file size: 2mb. Trademark First Used in Commerce (Date/Month/Year): Trademark First Conceived (Date/Month/Year): Goods or Services the Trademark is Used to Promote/Sell: