Application For Trademark, Service Mark Certification Mark Or Collective Mark - 2008
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1
2MINNESOTA SECRETARY OF STATE
APPLICATION FOR TRADEMARK, SERVICE MARK
CERTIFICATION MARK OR COLLECTIVE MARK
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PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
your entity name
READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM
before you file.
You must include a sample of commercial use - See Instructions
1. State the words or phrase to be registered:
___________________________________________________________________________________________________
2. Provide a written description of the logo design (if none, leave blank). Stylized letters are not a logo design:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
3. Trade/Service Mark Classification Number (see instruction 3 on the back of this form before completing this item): _______
NOTE: A separate application and fee is required for each classification desired.
4. State the SPECIFIC goods or services within the above classification for which the mark is used:
___________________________________________________________________________________________________
5. How and where is the mark displayed on the goods or services listed in Item 4?
___________________________________________________________________________________________________
6. State the date on which this mark was first used in commerce by the applicant or their predecessor(s) in Minnesota:
(must have been used prior to registration)
_______________________________________
Month
Day
Year
7.
Name of individual, firm, partnership, corporation, association, union or other organization applying for this mark:
___________________________________________________________________________________________________
Name
State of Incorporation
___________________________________________________________________________________________________
Street Address
City
State
ZIP
I certify that I am the applicant or that I am authorized to sign this application on behalf of the applicant, that the applicant
understands the above application and its contents, that the facts set out in the application are true, that the applicant
believes that he, she or it is the owner of the mark and that no other person, firm, partnership, association, union, corporation
or other organization has the right to use the mark in Minnesota, either in an identical form or in such a manner that might
deceive or be mistaken for this mark. The specimen or facsimile filed with this application is a true and correct example of
the mark as used. I further certify that I understand that by signing this application, I am subject to the penalties of perjury as
set forth in section 609.48 as if I had signed this application under oath.
____________________________________________________
Signature
____________________________________________________
Print Name and Phone Number of Contact Person for this Mark.
Trademarkapplication Rev. 8-08
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