Application For Renewal Of Mark Form - Arizona Secretary Of State
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1Office Use_____________
Approved by:_____________
Please mail registration to:
Betsey Bayless
Secretary of State
Trademark Division
1700 West Washington 7th Floor
Phoenix, Arizona 85007
602/542-6187
Filing Fee: $15.00
APPLICATION FOR RENEWAL OF MARK
(A.R.S. §44-1445)
Be it known that the applicant is the owner of a trademark which has been registered with the Secretary of
State and hereby makes application for renewal of said registration:
Please print clearly or type. Your renewal notices are dependent on accurate address information
including suite numbers. Ownership of trademark may not be transferred on this form. Please see
“Assignment of Trademark” form.
Name of Mark:
Applicant(s) Name:
Registration #:
Business Address:
Street or Box Number
City
State
Zip
Phone (Optional):
Original date of Registration:
Registration #
Applicant please check one:
Individual
Partnership
Arizona Corporation
Foreign Corporation licensed for business in Arizona.
Do not check Corporation if you are not currently registered as a corporation, or your application
will be returned to you.
If partnership, please list names and addresses of partners:
______________________________________
Name
Address
______________________________________
Name
Address
Accurate word description of Trademark:
Please attach specimen or facsimile of trademark on 8 1/2 by 11 inch paper.
Applicant’s Printed Name
Applicant’s Signature
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