MM7(E) MADRID AGREEMENT AND PROTOCOL CONCERNING THE INTERNATIONAL REGISTRATION OF MARKS REQUEST FOR THE RECORDING OF A RENUNCIATION (Rule 25 of the Common Regulations) IMPORTANT 1. This request can be presented directly to the International Bureau or through the Office of the Contracting Party. 2. This request may relate to one or more but not all of the designated Contracting Parties covered by the international registration; where the holder wishes to cancel the international registration in respect of all the designated Contracting Parties for all the goods and services, a request for the recording of a total cancellation must be presented instead (form MM8). 3. One single form may be used to request the recording of a renunciation in respect of several international registrations of the same holder, provided that the designated Contracting Parties in respect of which the international registration is renounced are the same for each of the international registrations concerned. 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 MM7(E) � September 2016 American LegalNet, Inc. www.FormsWorkFlow.com MM7(E) REQUEST FOR THE RECORDING OF A RENUNCIATION For use by the holder This request contains the following number of continuation sheets: Office's reference: For use by the Office Holder's reference: 1 INTERNATIONAL REGISTRATION NUMBER(S) (this form may be used for several international registrations in the name of the same holder, provided that designated Contracting Parties in respect of which the international registration is renounced are the same for each of the international registrations concerned) 2 NAME OF THE HOLDER (as recorded in the International Register) 3 APPOINTMENT OF A (NEW) REPRESENTATIVE (only complete this item if you are appointing a (new) representative) Name: Address: Telephone: E-mail address: Fax: By providing an e-mail address, any further correspondence from the International Bureau related to this/these international registration(s) will be sent only electronically and, therefore, you will no longer receive any paper correspondence. Likewise, any further correspondence from the International Bureau related to other international applications or international registrations for which the same e-mail address has been, or will be, provided will also be sent only electronically. Please note that, for the purpose of electronic communication, there can be only one e-mail address recorded per each international registration. SIGNATURE OF THE HOLDER APPOINTING THE ABOVE (NEW) REPRESENTATIVE 4 1 CONTRACTING PARTIES The renunciation concerns the following designated Contracting Parties: MM7(E) � September 2016 American LegalNet, Inc. www.FormsWorkFlow.com MM7(E), page 2 5 SIGNATURE BY THE HOLDER AND/OR HIS REPRESENTATIVE Holder (as recorded in the International Register) By signing this form, I declare that I am entitled to sign it under the applicable law: Representative of the holder (as recorded in the International Register or herein appointed) By signing this form, I declare that I am entitled to sign it under the applicable law: Name: Name: Signature: Signature: 6 OFFICE OF THE CONTRACTING PARTY OF THE HOLDER PRESENTING THE REQUEST (where this request is presented through an Office) Name of the Office: Name and signature of the official signing on behalf of the Office: By signing this form, I declare that I am entitled to sign it under the applicable law: Name and e-mail address of the contact person in the Office: MM7(E) � September 2016 American LegalNet, Inc. www.FormsWorkFlow.com CONTINUATION SHEET No: .......... of .......... MM7(E) � September 2016 American LegalNet, Inc. www.FormsWorkFlow.com