Trademark Service Mark Application (General Laws Chapter 110h, Section 3) - Commonwealth Of Massachusetts Page 2

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(4) Applicant is seeking to register (check box):
Trademark
Service Mark
(5) The mark is (complete one of the following):
a) Words only - If the mark is only words, the words in the mark are (include type style if it is claimed as part of the mark):
b) Design Only - If the mark is a design only, describe the design (include colors if they are claimed as part of the mark):
c) Words and Design - State the words in the mark (include color and type style if they are claimed as part of the mark) and
describe the design:
(6) Describe briefly the goods or services used in connection with the mark:
(7) For each class provide the number and class in which such goods or services fall (see attached classification schedule):
(An application may include multiple classes)
(8) Describe briefly how the mark is used in connection with such goods or services:
a) The mark is used by displaying it (check box):
on documents, wrappers, or articles delivered with the goods
in advertisements of the services
in connection with the services rendered
other
b) If other, describe briefly how the mark is used:

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