MM17(E) MADRID AGREEMENT AND PROTOCOL CONCERNING THE INTERNATIONAL REGISTRATION OF MARKS CLAIM OF SENIORITY ­ EUROPEAN UNION (this form must be annexed, where applicable, to an international application designating the European Union or to a subsequent designation of the European Union) World Intellectual Property Organization 34, chemin des Colombettes 1211 Geneva 20, Switzerland Tel. (Madrid Customer Service): +41 (0)22 338 8686 Fax (Madrid Registry): +41 (0)22 740 1429 e-mail: intreg.mail@wipo.int ­ Internet: www.wipo.int MM17(E) ­ October 2016 American LegalNet, Inc. www.FormsWorkFlow.com MM17(E) CLAIM OF SENIORITY This request contains the following number of continuation sheets: With respect to the designation of the European Union in the international application or in the subsequent designation indicated below, the applicant or holder wishes to claim the seniority of an earlier mark registered in, or for, a Member State of the European Union. The seniority claim relates to a designation of the European Union in (check the appropriate box): An international application (i) Name of the applicant: (i) A subsequent designation Name of the holder: (ii) Basic application or registration number (as indicated in item 5 of the international application form): (ii) Corresponding international registration number: PARTICULARS OF THE EARLIER MARK FOR WHICH SENIORITY IS CLAIMED (1) Member State of the European Union in, or for, which the earlier mark is registered ­ (only one box must be checked; if the applicant or holder wishes to claim the seniority of a mark registered in, or for, other Member States, a distinct MM17 form must be completed for each of these other Member States ­ there must be as many completed MM17 forms as there are Member States for which a seniority is claimed) AT BG BX CY CZ DE DK (2) Austria Bulgaria Benelux Cyprus Czechia Germany Denmark EE ES FI FR GB GR Estonia Spain Finland France United Kingdom Greece HR HU IE IT LT LV MT Croatia Hungary Ireland Italy Lithuania Latvia Malta PL PT RO SE SI SK Poland Portugal Romania Sweden Slovenia Slovakia Nature of the registration (check the appropriate box): National registration in the Member State, or International registration having effect in the Member State (3) (4) (5) Registration number: Filing date: (dd/mm/yyyy) Goods and services for which the earlier mark is registered (indicate these goods and services, grouped in the appropriate class(es)): Please make consistent use of a semicolon (;) to clearly specify the goods and services indications in your list, e.g.: 09 Scientific, optical and electronic apparatus and instruments; screens for photoengraving; computers. 35 Advertising; compilation of statistics; commercial information agencies. Please use font "Courier New" or "Times New Roman", size 12 pt, or above. If the space provided above is not sufficient, check the box and use a continuation sheet MM17(E) ­ October 2016 American LegalNet, Inc. www.FormsWorkFlow.com CONTINUATION SHEET No: .......... of .......... MM17(E) ­ October 2016 American LegalNet, Inc. www.FormsWorkFlow.com