What is the proposed name for the Mark?

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

Website address where Mark is being / will be used. (if any)

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

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 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)

If mark is a logo, please either attach a drawing or specimen of the Mark. A "drawing" is an image of the mark such as the file you or your designer created. A specimen is real-life evidence of how you are actually using your Mark as put out to the public, such as a website or advertisement.

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