Trade Or Service Mark Application Form 901 Page 6
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Form 901
(Revised 05/13)
Submit to:
Secretary of State
PO Box 13697
Austin, TX 78711-3697
Application for Registration
512 463-9760
FAX: 512 463-5709
of a Trade or Service Mark
Application Fee:
$50 per class
1. NAME OF APPLICANT (owner of mark—individual, corporation, or other entity applying for
registration):
2. BUSINESS ADDRESS OF APPLICANT:
City:
State:
Zip Code:
Country:
3. BUSINESS STRUCTURE OF APPLICANT (Check One and Complete)
☐ Corporation
☐ General Partnership
(State of Incorporation):
(State of Organization):
☐ Limited Liability Company
☐ Sole Proprietor
(State of Organization):
☐ Limited Partnership
☐ Other
(State of Organization):
(Describe):
4. NAMES OF GENERAL PARTNERS, IF APPLICANT IS A PARTNERSHIP (attach additional
sheet if necessary):
5A. NAME AND/OR DESCRIPTION OF MARK (For design, provide a brief written description that
can be pictured in the mind without reference to the specimens. Do not draw the design on the
application. Attach a drawing of the mark.):
Form 901
6
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