Form F0023 - Application To Register Or Renew Trade And Service Marks 1996

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F0023 - Page 1 of 4
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136
(601) 359-1333
*0023-1-4*
Application to Register or Renew Trade and Service Marks
1. Please indicate below the type of registration desired
Trademark
Original
Service Mark
Renewal
Registration
No.
2. Name of owner (person, corporation or other entity) applying for registration
3. Business address of applicant
Telephone (area code first)
-
City, State, ZIP5, ZIP4
4. Applicant is:
Individual
Corporation
Sole Proprietor
Partnership
Limited Liability Partnership
Limited Liability Company
Other
For Foreign Corporation, Partnership,
State or country of
Limited Liability Company, Limited Liability Partnership
orOther)
5. If partnership or other entity, list names and business addresses of general
partners, owners and /or managers:
Name
Title
Name
Title
Name
Title
page 1 of 4
F0023 [Rev. 11/96]

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