Trademark Registration Application Form


Type the Trademark you wish to register in ALL CAPS


Is this application for Federal or State registration?
if State, the state of registration is:

Applicants Entity Type. Check the Appropriate Box.
Individual. Citizen of (Country):
Partnership. State where organized:
Names and Citizenship (Country) of General Partners:
1st Partner Name:
1st Partner Citizenship:
2nd Partner Name:
2nd Partner Citizenship:
Corporation – State (Country) of Incorporation:

Applicant’s Name:
Address:
City, State, Zip, Country:
Telephone:
Fax:
E-mail:

Goods and Services
In the space provided, carefully describe the goods and services represented by the trademark. Please be specific. Get Help with This window will popup

Grounds of your Trademark Application
We are using the Trademark in commerce or in connection with the above described goods and services.
Date of first use of the trademark:
We have an intention to use the trademark in commerce or in connection with the above described goods or services. We haven't yet used this trademark in commerce. /this option is available for federal trademark filings only, and requires an additional $350 fee for filing of the statement of use./
	What's the difference? window will popup
We have an intention to use the trademark in commerce or in connections with the above described goods or services. In addition, we claim priority based on registration of the trademark in another country.
Country of Foreign Registration:
Date of Foreign Registration:
Foreign application number:


Format of Trademark
TYPED FORMAT (WORDS ONLY). Type Here:
STYLIZED OR DESIGN FORMAT (DESIGN AND/OR WORDS)
If your mark is a design, you will need to e-mail us the logo design to the address: trademark@oleninc.com. Put your trademark name in the subject line.

Specimen
You will need to submit three examples of the mark as it is actually used in commerce Please describe what type of specimen you will be submitting. We will instruct you on how to send the specimen to us. If you haven't used the trademark in commerce, you do not need to provide the specimen information right now. Get Help with This window will popup

Person to contact about this application
Name
Telephone number
E-mail address

Billing information
Type of payment:
Credit card number
Expiration Date (mm/yyyy)
Name on the card:
Charge authorized
Billing Address:

Please note, that the processing of your order will start upon receipt of your payment. An alternative printable credit card authorization form is available from Download Forms Section and can be faxed to: 1-888-441-7773.
Any additional information you may want us to know, or any comments on the above application: