Please include the full legal name of the entity or individual owner(s) of the mark.
If Applicant is an entity rather than an individual, please indicate the jurisdiction of
organization/incorporation of the entity
Please enter the physical address at which you would like to receive mail relating to the application. NOTE
THAT ALL OFFICIAL CORRESPONDENCE WILL BE SENT TO PRINCIPLE LAW AS THE ATTORNEY OF RECORD.
Please be aware that you may receive advertisements purporting to be official correspondence.
Please enter the address of the owner’s principle place of business if owned by a entity or the primary
residence of the owner if owned by an individual. The domicile address will not be made public record.
Please enter the address of the owner’s website or other websites showing the applied-for mark in use, if
available.