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Trademark Application Intake Form - US

U.S. Applications Only. Please complete all sections as accurately as possible.

1. Applicant Information

Full Legal Name

Enter the full name of the individual, corporation, or other legal entity that owns the trademark.

Street Address

City

State / Province

Country

ZIP / Postal Code

Phone

Fax

Email

2. Citizenship or Country of Organization

Citizenship / Country of Organization

If an individual: specify country of citizenship. If a corporation, LLC, or other entity: specify state and/or country of incorporation.

3. Trademark

Trademark

Enter the literal element of your trademark (e.g., the name or text). If your trademark includes a logo, upload it below.

Logo / Trademark Image

4. Products or Services

Description of Goods / Services

Provide a concise and specific list of the products and/or services you sell or plan to sell under this trademark. Avoid generic terms — specify items (e.g. 'T-shirts, pants, and socks' instead of 'clothing').

5. Use of Your Trademark

Are you currently using your trademark in connection with your business, products, or services?

Are you currently using your trademark in connection with your business, products, or services?
A
B

6. Date of First Use Anywhere

Date of First Use Anywhere

If you are currently using your trademark, indicate when you first began using it. If you do not recall the exact date, provide month and year, or at least the year. Leave blank if not yet in use.

7. Date of First Use in U.S. Interstate Commerce

Date of First Use in U.S. Interstate Commerce

Indicate when you first sold or transported products across U.S. state lines bearing the mark, or first offered services to customers in more than one U.S. state. Leave blank if not applicable.

8. Specimen / Proof of Use

Specimen / Proof of Use

If you have a date of first use in U.S. interstate commerce, provide evidence of your trademark use. For products: product photo, packaging, label, or website checkout screenshot. For services: website screenshot, marketing materials, or URL.

URL / Link to specimen

9. Prior Applications or Registrations in Other Countries

Prior Applications or Registrations

If you have already filed or obtained registration for this trademark in another country, please provide details. This may offer priority rights or other advantages.