Trademark Registration: Intake Form

Thank you for choosing D. Clark Law for your trademark registration needs.

The information you provide below is just to get the process started. We will confirm all information during our consultation.

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Email *
First and Last Name *
What would you like to protect?
 *
Select one category to protect. If you would like to trademark multiple categories, please place one order per trademark.
* If trademarking a logo, we will obtain the logo in the correct format once the form is submitted. 
What name would you like to trademark?
 *
Description of goods or services
 *
Please describe, in as much detail as possible, your business and the goods or services that are/will be offered under your brand.

Example: Clothing, hats, shirts, scarves, and socks; Computer game software for use on mobile and cellular phone
Who owns the trademark?
 *
If you have formed a business entity, such as an LLC or corporation, by filing documents with a state agency, choose "Company."
What company will own the trademark?
 *
Enter the exact legal spelling for your company name. Please include any terms that indicate the type of entity, such as LLC, Corporation, Partnership, etc.
Owner of Trademark *
If Individual: (include all individuals)  
  1. First and Last name
  2. Phone Number 
  3. Country of Citizenship
  4. If USA, provide your State of Residence
  5. Address
  6. Email 
If Company: 
  1. US State of Entity 
  2. Address (City, State, Zip Code, Country) 
  3. Phone Number 
  4. Email
When was the first date you used the trademark to sell or advertise your products or services?
 *
(If you have not yet begun "use" of your trademark please put N/A for not applicable.)

Format: Date/Month/Year
A copy of your responses will be emailed to the address you provided.
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