Fillable Wasington Trademark Reservation Form (Page 2 of 2) in pdf

Wasington Trademark Reservation Form Page 2

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Page 2 of 2

SECTION 3

SIGNATURE OF APPLICANT

This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.

X __________________________________________________________________________

APPLICANT SIGNATURE

Printed Name/Title

Date

Phone Number

GOODS OR SERVICE CLASSIFICATION NUMBERS:

(See

WAC 434-12-015

for a complete description of each classification)

Goods

Services

1. Chemical

18. Leather Goods

35. Advertising & Business

2. Paints

19. Nonmetallic Building Materials

36. Insurance & Financial

3. Cosmetic & Cleaning

20. Furniture & Other Articles

37. Construction & Repair

4. Lubricants & Fuel

21. House wares & Glass

38. Telecommunications

5. Pharmaceuticals

22. Cordage and Fibers

39. Transportation & Storage

6. Metal Goods

23. Yarns and Threads

40. Treatment of Materials

7. Machinery

24. Fabrics

41. Education & Training

8. Hand tools

25. Clothing

42. Scientific & Technological

9. Electrical & Scientific

26. Fancy Goods

43. Food, Drink & Lodging

10. Medical Apparatus

27. Floor Coverings

44. Medical, Veterinary & Hygienic

11. Environmental Control Apparatus

28. Toys & Sporting Goods

45. Personal & Social

12. Vehicles

29. Meats & Processed Foods

13. Firearms

30. Staple Foods

14. Jewelry

31. Natural Agricultural Products

15. Musical Instruments

32. Light Beverages

16. Paper Goods & Printed Matter

33. Wines and Spirits

34. Smoker’s Articles

17. Rubber Goods

INSTRUCTIONS – TRADEMARK RESERVATION

Please complete all sections of the Trademark Reservation. USE DARK INK ONLY. For an electronic, fillable

version of this form, please visit our website at

Section 1

Provide the name and address of the applicant, and the name and address of the client if different than the

applicant.

Section 2

Describe the trademark as it is to be registered. Provide the classification number(s) that apply. If art or

graphics are part of this trademark enclose a sample with this form.

Section 3

Provide the signature, title, date, and phone number of the authorized person signing.

Additional Information:

FEES: The filing fee for a trademark reservation is $30.00 per classification. If expedited service is requested

then add $50 to your total. (ALL fees are non refundable)

Mail completed forms and payment to:

Secretary of State, Corporation Division, 801 Capitol Way S, PO Box 40234, Olympia WA 98504-0234

If you have questions, need assistance or would like to provide feedback please visit the Corporations Division

website at

or call 360-725-0377.

Trademark – Reservation

Washington Secretary of State

Revised 07/10

Print Form

Wasington Trademark Reservation Form Page 2

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