Application For Registration Of Trademark Or Service Mark - Wyoming Secretary Of State
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3Ed Murray
Wyoming Secretary of State
2020 Carey Avenue, Suite 700
Cheyenne, WY 82002-0020
For Office Use Only
Ph. 307.777.7311
Fax 307.777.5339
Email:
Business@wyo.gov
Application for Registration of Trademark or Service Mark
1. Provide a written description of the trademark or service mark. Your description must include all words, names,
symbols, devices and designs which the applicant wishes to be included within the mark. You may attach a separate sheet
if needed; however, you must describe the trademark completely:
2. Name of applicant:
3. Business address of applicant:
4. Mailing address of applicant:
5. Applicant is
:
(check only one)
individual;
corporation;
general partnership;
limited partnership;
limited liability company;
statutory trust;
unincorporated association;
other:
6. a. If the applicant is a corporation, limited partnership, limited liability company or statutory trust, list:
The state of incorporation or organization:
The date incorporated or organized:
(Date – mm/dd/yyyy)
b. If a general partnership or limited partnership, list the names of the general partners or partners:
c. If a limited liability company or statutory trust, list the names of the managers, members or trustees:
d. If other, explain:
7. Provide the class number and title of the goods or services (see attachment). Use only one class code per registration:
Class number:
Title:
TM-RegistrationApplication – Revised October 2015
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