706 APPLICATION FOR REGISTRATION OF AMENDMENT OF TRADEMARK-SERVICE MARK COLLECTIVE OR CERTIFICATION MARK STATE OF IDAHO A new registration is required if the mark is changed or if the kind of goods is expanded from that set forth in the registration being renewed. Complete all items on the application. The application must be signed by an individual applicant, by a general partner of a partnership applicant, or by an officer of a corporate applicant. The registrant named herein swears that he is now using in the State of Idaho and has heretofore registered the trademark-service mark identified below. Pursuant to Section 48-507, Idaho Code, the undersigned hereby applies for the amendment registration of its trademark/service mark. Check box if this is a Certification Mark or Collective Mark. 1. A Certificate of Registration was issued to the registrant under the name of 2. The registrants name has been changed to 3. The registrants address has been changed to 4. File Number Date of Original Filing 5. Mailing address to which the certificate should be sent: Phone ( _____ ) ? Registrant Filing office use only Submit application and $30.00 filing fee to: SECRETARY OF STATE OF STATE Trademark Division Trademark Division 450 N 4th Street 700 West Jefferson, Room 203 PO Box 83720 P.O. Box83720 Boise ID 83720-0080 Boise, ID 83720-0080 Make Checks payable to: Secretary of State K:\TMARKS\AMENDMNT2.PM6 TM#OTHER#### American LegalNet, Inc. www.FormsWorkflow.com