Fillable Form Cr171-Trade And Service Marks-Registration printable pdf download

Form Cr171-Trade And Service Marks-Registration

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Phone: (503) 986-2200

Trade and Service Marks—Registration

Fax: (503) 378-4381

For office use only

Secretary of State

Corporation Division

255 Capitol St. NE, Suite 151

Salem, OR 97310-1327

Registry Number: ________________________________

Reset Form

Attach Additional Sheet if Necessary

Please Type or Print Legibly in Black Ink

1) C

6) G

ORRESPONDENT

AME AND

AILING

DDRESS

OODS OR

ERVICES WITH

HICH THE

ARK

SED (Examples of

goods are pizzas, shirts; examples of services are serving food and selling

clothing.)

2) A

’

PPLICANT

AME AND

DDRESS (Owner)

7) E

XPLAIN

ODE OR

ANNER IN

HICH THE

ARK

SED

(Example: on goods, tags, labels, containers, etc.)

3) I

, E

F THE

PPLICANT

S A

ORPORATION

NTER THE

TATE OF

NCORPORATION

4) D

ESCRIPTION OF

RADE OR

ERVICE

ARK

8) C

(

)

LASS

UMBER

OODS OR

ERVICES (See list on reverse side.)

9) D

ATE

ARK

IRST

SED

NYWHERE

PPLICANT OR

’

PPLICANT

REDECESSOR

5) S

PECIMEN OR

ACSIMILE OF

ARK IS

EQUIRED

10) D

ATE

ARK

IRST

SED IN

REGON

PPLICANT OR

A specimen or facsimile of the mark is attached to this application.

’

PPLICANT

REDECESSOR

11) E

XECUTION

Applicant believes that applicant is the owner of the mark and no other person has the right to use such mark in Oregon, either in the identical form thereof, or in such

near resemblance thereto, as might be calculated to deceive, or to be mistaken therefor, and applicant declares under penalties of perjury that this application is true,

correct and complete.

Date: ____________________________________________________________

Signature: ________________________________________________________

FEES

Make check for $20 payable to

“Corporation Division.”

Registration is good for

five years from the date of

registration.

12) C

– I

ONTACT