Application For Registration Of Trademark/service Mark Form - Arizona Secretary Of State Page 2
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1
2Office Use_____________
Approved by:_____________
Please mail registration to:
Betsey Bayless
Secretary of State
Business Services - Marks
th
1700 West Washington 7
Floor
Phoenix, Arizona 85007
602/542-6187
Filling Fee $15.00
Page 2 of 2
APPLICATION FOR REGISTRATION OF TRADEMARK/SERVICE MARK
A.R.S. §44-1441 THRU 44-1455
I attest that the above named applicant is the owner of the Mark for which this application
is filed and that no other person (as defined in A.R.S. §44-1441) has the right to use the
Mark in this State in the identical from thereof or such near resemblance thereto as it
might be calculated to deceive or to be mistaken therefor.
Applicant’s Printed Name
Applicant’s Signature
State of
County of
Acknowledged before me on this
day of
,
.
Notary Public
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