Trademark Service Mark Renewal (General Laws Chapter 110h, Section 6) - Commonwealth Of Massachusetts Page 2

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(3) 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)
(4) Provide the Massachusetts registration date and number:
(5) Attach a specimen showing actual use of the mark on or in connection with the goods or services. The sample specimen may
not be larger than 3” x 3”.

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