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Trademark Intake Form

Trademark Name*

Owner of Mark*

Client First Name*

Client Last Name*

Phone*

Email*

Country/Region*

Address*

City*

Zip / Postal code*

Goods/Services Associated with the Trademark:*

Date of First Use Anywhere*

Date of First Use In Commerce*

Would you like to include a Comprehensive Trademark Search? This service provides an in-depth analysis of potential conflicts with existing trademarks.*

Yes, I would like to add the comprehensive trademark search.

No, I decline this additional service.

Service Add-On

Comprehensive Trademark Search$175

Additional Information or Questions

Signature*

Client Acknowledgment: By submitting this form, I confirm that the information provided is accurate and complete to the best of my knowledge.

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