OF TRADEMARK IN THE UNITED STATES PATENT AND TRADEMARK OFFICE:
THE COMMISSIONER OF PATENTS AND TRADEMARKS:
(State or Country of Incorporation)
above identified applicant has adopted and is using the trademark shown in the
accompanying drawing for ________________________________ (Common, Usual or
Ordinary Name of Goods) and requests that such mark be registered in the United
States Patent and Trademark Office on the Principal Register established by the
Act of July 5, 1946.
trademark was first used on the goods on _______________ (Date); was first used
in _________________________________________________ (Type of Commerce)
commerce on _____________ (Date); and is now in use in such commerce.
mark is used by applying it to _________________________________________
(Manner of Application, such as the goods or labels affixed to the
product). Five specimens showing the
mark as actually used are presented herewith.
of attorney may be inserted at this point in the application or may be on a
separate sheet. If power of attorney is
to be part of the application, add:
hereby appoints ______________________________________ (Name(s)), of
_______________________________ (an Attorney or Attorneys at law or Other
Title, such as: Secretary of the
Applicant Corporation) to prosecute this application to register, to transact
all business in the Patent and Trademark Office in connection therewith, and to
receive the certificate of registration.
(Name of Corporate Officer) states that __________ (He or She) is the
__________________________________ (Official Title) of the applicant
corporation and is authorized to execute this instrument on behalf of the
corporation; __________ (He or She) believes the applicant corporation to be
the owner of the trademark sought to be registered; to the best of __________
(His or Her) knowledge and belief no other person, partnership, corporation or
association has the right to use the mark in commerce, either in the identical
form or in such near resemblance thereto as to be likely, when applied to the
goods of such other person, to cause confusion, or to cause mistake, or to
deceive; and the facts set forth in this application are true.
of corporate officer and official title
designation of domestic representative, if necessary.)