Business Name:

Address, City, State, Zip:

Country:

Business Type:

Who will sign your application (owner or officer)?

What is his/her title?

Contact Person:

Email:

Telephone:

Fax:

Trademark/Name:

Description of Goods/Services

Have Goods/Services been sold under the name/mark?

yes no

Date Goods/Services first sold:

Any sales outside your home state?

Date of sales outside home state:

Select Your Service:

Search and Registration

$900 plus $335 per class Filing Fee

Registration Only

$350 plus $335 per class Filing Fee

Search and Opinion

$560

I have read the Fee Schedule, Guarantee and description of the service that I am ordering and authorize you to charge my above-indicated credit card account (if applicable) for the fees identified on your site for the services I have ordered. Government filing fees are for one class applications. You will be advised in advance if there will be additional filing fees. Intent to Use applications for marks that have not been used in connection with actual sales require an additional $100 per class Statement of Use government filing fee after the application is approved.