Application For Registration Of Trademark-Service Mark Collective Or Certification Mark Idaho
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APPLICATION FOR
REGISTRATION OF TRADEMARK-SERVICE MARK
COLLECTIVE OR CERTIFICATION MARK
STATE OF IDAHO
Complete all items on the application. The application must be signed by an individual, general partner or officer of a
corporation. Enclose one specimen of the mark as actually used in commerce and a $30. filing fee per class code.
Check box
if this is a Certification Mark or Collective Mark.
1. Name of registrant: _____________________________________________________________________________
2. Business address: _____________________________________________________________________________
3. If applicant is a partnership, name the general partners: _________________________________________________
____________________________________________________________________________________________
4. If applicant is a corporation, limited liability company or partnership, give state of domestication: __________________
5. Describe in detail the exact mark to be registered: _____________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
6. Number of class in which above particular goods or services fall: __________________________________________
Classes listed on backside
($30.00 filing fee per class code)
7. Describe the kind(s) of goods or services in the above class which the trademark-service mark is used to identify:
____________________________________________________________________________________________
____________________________________________________________________________________________
8. Date of first use of trademark-service mark in Idaho: ___________________________________________________
MUST BE IN USE PRIOR TO REGISTRATION
9. Date of first use of trademark-service mark anywhere: __________________________________________________
MUST BE IN USE PRIOR TO REGISTRATION
10. State the manner in which the mark is used in commerce (i.e. on the foods, on labels or tags, on displays, on signs, on
letterheads, in advertising materials, on business cards, etc.): ____________________________________________
____________________________________________________________________________________________
11. Person and mailing address if different from above: _____________________________________________________
____________________________________________________________ Phone ( ____ )___________________
The applicant swears that he has adopted and is now using in the State of Idaho the trademark-service mark identified above, and
believes that no other individual, firm, partnership. corporation, association, union, or other organization has the right to use such
trademark-service mark in connection with the same or similar goods or services identified below in this State, either in the identical
form thereof or in such near resemblance thereto as might be calculated to deceive or to be mistaken therefor.
Filing Office Use Only
Applicant
Submit Application, Specimen and $30.00 filing fee per class code to:
SECRETARY OF STATE
Trademark Division
208 332-2810
450 N 4th St
dfarnsworth@sos.idaho.gov
P.O. Box 83720
Boise ID 83720-0080
Make Checks payable to: Secretary of State
ORIGINAL####
K:\TMARKS\ORIGINAL APPLICATION REVISED 6-01-05.pmd
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