Trademark Registration / Renewal Form printable pdf download

Trademark Registration / Renewal Form

TRADEMARK REGISTRATION / RENEWAL (9 VSA, Ch. 71)

Vermont Secretary of State, 81 River Street, Montpelier, VT 05609-1104 (802-828-2386)

NAME OF TRADEMARK

NAME OF OWNER

(street)

(city)

(state/zip)

GENERAL NATURE OF APPLICANT'S BUSINESS:

DESCRIPTION OF PRODUCT:

EXPLAIN HOW MARK IS USED IN CONNECTION WITH THE PRODUCT:

Note: Include the label, package, or picture that clearly shows the trademark and how it will be

attached to the product.

NUMERICAL CLASS OF GOODS:

(to see list click here:

Trademark

Classifications)

DATE WHEN TRADEMARK WAS FIRST USED OR ADOPTED:

I certify, under penalty of perjury, that the foregoing information is accurate and that no other person

has the right to the trademark, either in the identical form, or having such near resemblance thereto as

may be calculated to deceive, or that would be liable to be mistaken therefore.

Printed Name:

Signature: ____________________________________________________________________

Date:

$20.00 FEE payable to Vermont Secretary of State - Registration is valid for a period of ten years.

Trademark Registration / Renewal Form