TRADEMARK
APPLICATION
Trademark:
______________________
Class: ________________________
To
the Commissioner of Patents and Trademarks:
_________________________________________________,
(Address)
The
above-identified applicant has a bona fide intention to use in commerce the
trademark shown in the accompanying drawing for ________________________ and requests that said mark be registered in
the United States Patent and Trademark Office on the Principal Register
established by the Act of July 5, 1946.
The
trademark is intended to be used on the goods and packaging therefor and in
other ways customary in the trade.
Applicant
hereby appoints _____________________________________, (Name, Address and Telephone
of Appointed Attorney) ___________________________, as the attorney to
prosecute this application to registration, to transact all business in the
Patent and Trademark Office connected therewith, and to receive the Certificate
of Registration.
__________________________________
(Name) declares that he is the President of applicant
________________________________, INC.; that he believes that applicant is the
owner of the mark sought to be registered and to the best of his knowledge and
belief, no other person, firm, corporation, or association has the right to use
said mark in commerce, either in identical form or in such near resemblance
thereto as may be likely, when applied to the goods or services of such other
person, to cause confusion, mistake, or to deceive; that the facts set forth in
this application are true; that all
statements made herein of his own knowledge are true and that statements on
information and belief are believed to be true; and further that these
statements were made with the knowledge that willful false statements and the
like so made are punishable by fine or imprisonment, or both, under Section
1001 of Title 18 of the United States Code, and that such willful false
statements may jeopardize the validity of the application or any registration
resulting therefrom.
_________________________________
(Company Name)
By: __________________________ Date: _____________
Signature
