Form F0023 - Application To Register Or Renew Trade And Service Marks 1996 Page 2
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4F0023 - Page 2 of 4
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136
(601) 359-1333
*0023-2-4*
Application to Register or Renew Trade and Service Marks
Name
Title
Name
Title
Name
Title
6. The goods or services on or in connection with which the mark is used are:
7. Classification
(Use two digit classification number from instructions.)
8. Mode or manner in which the mark is used on or in connection with the goods or services is:
9. Date mark was
First used in
first used anywhere:
Mississippi:
MM/DD/YYYY
MM/DD/YYYY
10. Applicant or predecessor in interest has on file an application to register in
the U.S. Patent and Trademark Office covering an area including this state.
Serial
Yes
No
Number
Filing Date
Application
Status
Application Refused?
Yes
No
Reasons:
page 2 of 4
F0023 [Rev. 11/96]
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