What is the proposed name for the Mark?

Place the textual name of the Mark here, including punctuation, if any.

Who will be the Owner of the Mark?

If individual, please provide first and last name. If business, provide the full legal name of the business.

What type of entity is the Owner?

Individual or Sole Proprietor

Corporation

LLC

Partnership

Limited Partnership

Joint Venture

Trust

Estate

Other/Unsure

What is the Owner's mailing address, including city, state, zip and suite number, if applicable?

Entered address is publicly viewable in the USPTO's TSDR database. This address must be capable of receiving mail and may be your street address, a P.O. box, or a "care of" address.

What is the Owner's domicile address, including city, state, zip and suite number, if applicable?

This address is not publicly viewable in the USPTO's TSDR database unless it is the same as the mailing address. In most cases, a P.O. box, "care of" address, or similar variation is not acceptable as a domicile address.

Owner's preferred contact phone number

Owner's preferred contact email

Website address where Mark is being / will be used

What type of Mark do you wish to apply for?

Standard Character- no claim to any style, font or color.

Special Form- Stylized or Design- Used if Mark will be identified by specific style, font or color. This includes Marks that use a logo.

Sound, Scent, Performance or other non-visual Mark- not common.

Has Owner of this Mark ever had a prior active registration for it?

Yes

If yes, provide prior registration number(s)

No

Does the Mark contain a foreign word?

Yes

a. If so, provide the English translation of the word and the language of origin.

No

Does the Mark contain foreign language text?

If the answer to this question is yes, enter either the transliteration and English translation thereof, or enter the transliteration and specify that no meaning exists in a foreign language.

Yes

Enter either the transliteration and English translation thereof, or enter the transliteration and specify that no meaning exists in a foreign language.

No

Does the Mark contain wording, letters or numerals that are significant to the relevant trade or industry?

If any word(s), letter(s), or numeral(s) appearing in the mark have a significance in the relevant trade or industry or as applied to the goods and/or services in the application, applicant should specify the significance to avoid inquiry by the examining

Yes

Explain the significance of the word, letter or numerals within the industry.

No

Does the Mark use any of the names, portraits or signature of any living individual?

Yes

If yes, do you have that person's permission to use his/her name image or likeness? If you have permission, the USPTO will require you to provide a written consent to registration, personally signed by the individual identified in the trademark. Do you have this in your possession?

No

Has there been prior use of the Mark in a different form other than what will be registered?

Yes

If so, when was that Mark first used? Please attach a sample of the Mark in the different form from prior use.

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No

Are you currently using the Mark in commerce, or do you anticipate using the Mark at a later time in the near future?

Currently in use or will be using before we file (Within 1 month of hiring attorney)

Plan to be using the mark soon, but after the application has been filed

If currently using the Mark, date of first use of the Mark anywhere (Month/Day/Year if possible, otherwise Month/Year)

If currently using the Mark, date of first use of the Mark IN COMMERCE (Month/Day/Year if possible, otherwise Month/Year)

What types of goods or services are you currently using the Mark with?

Describe the types of goods and services you currently use (or plan to use, if intent to use) for the Mark. For instance, clothing, hats, purses, bumper stickers, e-commerce website, accounting services, metal fabrication.

What types of goods or services do you anticipate using the Mark with in the near future?

Describe the types of goods and services you currently use (or plan to use, if intent to use) for the Mark. For instance, clothing, hats, purses, bumper stickers, e-commerce website, accounting services, metal fabrication.

Please attach a drawing of the Mark, as being used, or anticipated to be used. The "drawing" is a clear image of the mark applicant seeks to register. The USPTO uses the drawing to upload the mark into the USPTO search database and to print the mark in the Official Gazette and on the registration certificate. All image files must be in PDF or JPG format.

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Please attach a specimen of the Mark, as being used, or anticipated to be used. A specimen is real-life evidence of how you are actually using your Mark as put out to the public. All image files must be in PDF or JPG format.

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