Wasington Trademark Reservation Form
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Washington Trademark Reservation
See attached detailed instructions
□
Trademark Reservation $30 per classification
Expiration Date:
□
Add $50 to your fee for Expedited Service
File Number:
TRADEMARK RESERVATION
Chapter 19.77 RCW
SECTION 1
NAME AND ADDRESS OF APPLICANT
Name: __________________________________________________________________________________
Address: ___________________________________________________________________________
City__________________________________ State ______ Zip Code __________
NAME AND ADDRESS OF CLIENT (if different from the applicant)
Name: __________________________________________________________________________________
Address: ___________________________________________________________________________
City__________________________________ State ______ Zip Code __________
SECTION 2
TRADEMARK SPECIFIC INFORMATION:
* If art or graphics are part of the trademark include one original sample with this form (see instructions page)
Describe the trademark as it is to be registered:
Goods or Services Classification Number(s): (see list on page 2):
Trademark is used for: □ Goods □ Services of the following description:
Trademark Reservations are good for 180 days. Reservations are not renewable.
Continued on page 2
Trademark – Reservation
Washington Secretary of State
Revised 07/10
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