Trademark Order Form The order form below includes the three packages listed and options for adding a logo and expedited filing. Start Here Fill out this form to order. Feel free to leave any optional questions blank if you are unsure how to answer. GOODS AND SERVICES?List of specific goods or services using or intending to use the trademark. Try to be specific. For example, "T-shirts and baseball caps" is better than "clothing."IS THE TRADEMARK IN USE?If everything is for sale, and the owner's using the trademark in commerce, mark "Yes." Mark "No" if the owner has not already used the trademark to sale all of the goods or services listed. Otherwise, mark "Not sure." Yes No Not sure Name(Required) First Middle Last TRADEMARK OWNER'S LEGAL NAME? (if a different person or a legal entity) Enter the name of the individual(s) or business that owns the trademark if different than the name of the person completing this form.Owner's Entity Type?Sole ProprietorshipLLCCorporation (for profit)Non-profit corporationOtherOther Entity Type State Organized (if LLC/Corporation, etc) Enter the domicile state or nation where the entity was organized if known.Owner's Address?(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Address (Owner)(Required) Applicants will enter a separate address for the primary contact person or employee if different than the owner.Land Phone Number (Owner) Mobile Phone Number (Owner) Contact Information is Same as the Owner?(Required) Yes No CONTACT PERSON'S INFORMATION(IF DIFFERENT THAN THE OWNER)Contact Name Title of Contact Person Email Address (Contact) Land Phone Number (Contact) Mobile Phone Number (Contact) Address (Contact) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Choose a Trademark PackageFlat-Fee Trademark PackageAvailable Flat-Fee Packages Enhanced Combo: Consultation, Search, Filing, + a Major Response Standard Combo: Consultation, Search, + Filing Trademark Search + Consultation Only (No Trademark Filing) Enhanced and Standard include a $350 filing fee for filing in a first class of goods/services. The attorney will contact you to decide on any additional class.The enhanced combination package includes a search, one-hour strategic legal consultation, trademark filing, and one reply to a Major or Minor USPTO action for a total cost of $1,649.00. The total includes a $350 filing/handling fee for one class. More than one class of goods or services will require an additional $350 filing fee for each class. (Saves up to $749 in the case a reply to a Major USPTO action is needed.)The standard combination of a one-hour strategic legal consultation with a trademark search and trademark filing for a total cost of $1,349.00. (Saves $199 compared to purchasing each service separately.) The total includes a $350 filing/handling fee for one class. More than one class of goods or services will require an additional $350 filing fee for each class. The standard combo includes an attorney's reply to minor office actions, but not major actions.The package you have chosen includes a search and legal opinion on your first trademark choice for a flat-fee of $749.00. (Saves $50 by combining the search and strategic consultation.) The search-only package does not include filing a trademark application. Please choose a different package before submitting this form if you intend to include the discount for paying in advance for a trademark filing in combination with a search. First TRADEMARK TO REGISTER(Required) Enter the trademark's word or phrase you would like to trademark, or briefly describe a logo.STYLIZED MARK No - words only Yes - includes graphics or non-text features If yes, the attorney requests an exact copy of the stylized mark for filing. You can upload now or wait until contacted by the attorney.UPLOAD THE STYLIZED MARKAccepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.The preferred format is a black and white or grayscale image between 300px to 900px.DATE OF FIRST USE Month Day Year If available, enter the date of first use of the trademark in commerce to identify any of the products or services listed. OptionalADDITIONAL TRADEMARK or LOGO?If you want to protect another trademark, such as a logo, select "yes" to enter the additional information. If unsure, you can always wait and let the attorney help you decide. Yes, I want to add a logo, slogan, or other additional trademark. (+$349 legal fee and +$350 filing fee for one class) No, I will trademark one brand identity for now. Maybe, I'll decide later. Additional TrademarkAdditional TRADEMARK TO REGISTER?(Required) Enter the trademark's word(s) or briefly describe a logoSTYLIZED MARK No - words only Yes - includes graphics or non-text features If yes, the attorney requests an exact copy of the second mark for filing. We can obtain this later if necessary.UPLOAD THE STYLIZED MARKAccepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.If available, please upload a file with the logo. The preferred format is a black and white or grayscale image between 300px to 900px.2nd TRADEMARK IN USE? Yes No Not sure Mark "No" if the owner has not already used the trademark to sale all of the goods or services listed. Mark "Not sure" if the owner used the mark with some of the goods/services listed. If everything is for sale, and the owner's using the trademark in commerce, mark "Yes."DATE OF FIRST USE Month Day Year Date of first use of the trademark in commerce to identify any of the products or services listed (leave blank if "intent to use")Expedited FilingIf you need your trademark application filed quickly, choose the expedited application option below. Clark & Bellamy will apply for registration of your mark within two business days of your form submission, the same day if possible. If we need additional details to file, we will ask you for them and file within two business days of your answer.Please file my trademark immediately? (+$150) Yes No Total Amount Due All advanced fees are fully refundable until services are rendered. Fees are treated as the law firm's own unless a client requests a refund before services. Credit Card(Required) Cardholder Name Card Details By clicking the Submit button below you electronically agree to Clark & Bellamy, P.C.'s Terms of Service, Privacy Policy, and trademark prosecution Retention and Engagement Terms. Δ