For Office Use Only Wyoming Secretary of State 2020 Carey Avenue, Suite 700 Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: Business@wyo.gov TN-NameReservation 226 Revised October 2015 Application for Reservation of Trade Name Pursuant to W.S. 40-2-103(a) any person may reserve the trade name for a one hundred twenty (120) day period. 1.Proposed name to be reserved: 2.Name of applicant: 3.Address of applicant: Signature: Date: (mm/dd/yyyy) Print Name: Contact Person: Title: Daytime Phone Number: Email: (Email provided will receive filing evidence) *May list multiple email addresses Checklist Filing Fee: $30.00 Make check or money order payable to Wyoming Secretary of State. Please submit one originally signed document. If you are submitting the Trade Name Registration at this time a name reservation is not required . Typical processing time is 3-5 business days following the date of receipt in our office. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents. American LegalNet, Inc. www.FormsWorkFlow.com