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Application For Registration Of Trademark Or Service Mark Form. This is a Wyoming form and can be use in Corporations Secretary Of State.
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Tags: Application For Registration Of Trademark Or Service Mark, Wyoming Secretary Of State, Corporations
Wyoming Secretary of State
State Capitol Building, Room 110
200 West 24th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email: business@state.wy.us
For Office Use Only
Application for Registration of Trademark or Service Mark
1. Provide a written description of the trademark or service mark. Your description must include all words, names,
symbols, devices and designs which the applicant wishes to be included within the mark. You may attach a separate sheet
if needed; however, you must describe the trademark completely:
2. Name of applicant:
3. Business address of applicant:
4. Mailing address of applicant:
5. Applicant is (check one):
individual;
corporation;
general partnership;
limited partnership;
limited liability company;
statutory trust;
unincorporated association;
other:
6. a. If the applicant is a corporation, limited partnership, limited liability company or statutory trust, list:
The state of incorporation or organization:
The date incorporated or organized:
(Date – mm/dd/yyyy)
b. If a general partnership or limited partnership, list the names of the general partners or partners:
c. If a limited liability company or statutory trust, list the names of the managers, members or trustees:
d. If other, explain:
7. Provide the class number and title of the goods or services (see attachment). Use only one class code per registration:
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8. Provide a brief description of the goods or services within the class (i.e., what your product is, or what service you
provide):
9. List the mode or manner in which the mark is used to identify the goods or services (e.g.: goods - labels on cans, bags,
wrappers, etc.; tags, nameplates affixed directly to product; services - labels on laundry bags, advertising, window signs,
etc.):
10. An application to register the mark or portions or a composite has been filed by the applicant or a predecessor in
interest in the U.S. Patent and Trademark office:
Yes
No
If yes, provide filing date, serial number of each application, the status and, if any application was finally refused
registration or has not otherwise resulted in registration, the reasons therefore:
11. Date of first use by applicant or predecessor (the mark must be in use before it can be registered):
a. Anywhere:
(Date – mm/dd/yyyy)
b. In this state:
(Date – mm/dd/yyyy)
12. One photocopy or facsimile of the mark as it is actually used must accompany this application.
13. The applicant is the owner of the mark. The mark is in use and to the knowledge of the person verifying this
application, no other person has registered, either federally or in this state, or has the right to use such mark either in the
identical form thereof or in such near resemblance as to be likely, when applied to the goods or services of such other
person, to cause confusion or to cause mistake or to deceive.
Date:
Signature: ___________________________________________
(mm/dd/yyyy)
Title:
Contact Person:
Daytime Phone Number:
State of ____________________)
County of __________________)
Subscribed and sworn to before me this ____________ day of _____________________________, ____________.
by______________________________________________________.
(Notarial Seal)
_________________________________________________________
Notary Public
My commission expires: _______________________
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Checklist
Filing Fee: $100.00 Make check or money order payable to Wyoming Secretary of State.
The Application must be accompanied by one photocopy or a facsimile of the trademark or service mark as it is actually used.
The sworn application must be executed by the individual applicant or a member, manager, trustee, partner, officer or director of the
applicant.
Please submit one originally signed document and one exact photocopy of the filing. One copy will be returned to you showing
the file date and file number.
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.
Important Information:
•Registration is effective for a term of five years and is renewable for like term upon application filed within six months prior to expiration of
such term.
•Renewal forms are mailed by the office of the Secretary of State to registrants whose trademark or service mark is up for renewal.
•A trademark or service mark may be canceled at any time upon written request to the Secretary of State and payment of a $10.00 filing fee.
•Assignment forms are available on the internet or from the office of the Secretary of State upon request. The filing fee to assign a trademark
or service mark is $25.00.
•Copies of the Wyoming Trademark statutes are available via the internet at
http://legisweb.state.wy.us/statutes/statutes.aspx?file=titles/Title40/T40CH1.htm
The following general classes of goods and services are established for convenience of administration of this Act,but not to limit or
extend the applicant’s or registrant’s rights. A single application for registration of a mark may include any and all goods upon
which, or service with which, the mark is actually being used in a single class. IF GOODS OR SERVICES FALL WITHIN TWO
SEPARATE CLASS CODES, A SEPARATE REGISTRATION MUST BE SUBMITTED FOR EACH CLASS.
Class Number and Title
Goods
1. Raw or partly prepared materials
2. Receptacles
3. Baggage, animal equipment, portfolios, and pocketbooks
4. Abrasives and polishing materials
5. Adhesives
6. Chemicals and chemical compositions
7. Cordage
8. Smokers’ articles, not including tobacco products
9. Explosives, firearms, equipments, and projectiles
10. Fertilizers
11. Inks and inking materials
12. Construction materials
13. Hardware and plumbing and steam-fitting supplies
14. Metals and metal castings and forgings
15. Oils and greases
16. Paints and painters’ materials
17. Tobacco products
18. Medicines and pharmaceutical preparations
19. Vehicles
20. Linoleum and oiled cloth
21. Electrical apparatus, machines, and supplies
22. Games, toys, and sporting goods
23. Cutlery, machinery, and tools, and parts thereof
24. Laundry appliances and machines
25. Locks and safes
26. Measuring and scientific appliances
27. Horological instruments
28. Jewelry and precious-metal ware
29. Brooms, brushes and dusters
30. Crockery, earthenware, and porcelain
31. Filters and refrigerators
32. Furniture and upholstery
33. Glassware
34. Heating, lighting and ventilating apparatus
35. Belting, hose, machinery packing, non-metallic tires
36. Musical instruments and supplies
37. Paper and stationery
38. Prints and publications
39. Clothing
40. Fancy goods, furnishings and notions
41. Canes, parasols, and umbrellas
42. Knitted, netted and textile fabrics and substitutes therefor
43. Thread and yarn
44. Dental, medical, and surgical appliances
45. Soft drinks and carbonated waters
46. Foods and ingredients of foods
47. Wines
48. Malt beverages and liquors
49. Distilled alcoholic liquors
50. Merchandise not otherwise classified
51. Cosmetics and toilet preparations
52. Detergents and soaps
Services
100. Miscellaneous
101. Advertising and business
102. Insurance and financial
103. Construction and repair
104. Communications
105. Transportation and storage
106. Material treatment
107. Education and entertainment
TM-RegistrationApplication - Revised 12/2008
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