Trademark Application

	1. YOUR TRADEMARK - What is the name of the mark you wish to register federally? (The mark may be a business name, product name, service name, logo, or the like. If a logo, list any text included within the logo here.)  * 2. GRAPHICS - Will your mark include a stylized logo or design elements?  * Yes No 3. FILES - Please include an electronic copy of the logo/design if you answered YES to Question 2. (Note: Uploaded file must be JPG format and under 5MB. If you have multiple image files, please email them to )  4. USE - Is your trademark currently in use in commerce where consumers can buy your goods and/or services? * Yes No 5. FIRST USE - If you answered yes to question 4, please provide the exact date the goods and/or services were used in commerce. 6. GOODS/SERVICES - Upon what goods and/or services is your mark used in commerce? (e.g. goods might include apparel, furniture, foods, or the like, and services might include accounting services, education services, or the like.) * 7. MARK OWNER STATUS - Are you filing as an individual or business entity? * Individual Business 8. SERVICE REQUESTED - Which trademark service do you desire for your mark?  * A. Basic Trademark “Knock-Out” Search-$99 • Review of U.S. Federal Trademark Database • Includes search for direct matches • Includes search for similar marks • Includes search for close matches • Includes review of phonetic equivalents B. Comprehensive Trademark Search-$399 • Includes Basic Trademark Search, plus: • Search of state trademark databases • Common law search • Search of top level internet domain names (.com, .net, .org) C. Trademark Search and Filing-$599* • Includes Comprehensive Trademark Search, plus: • Preparation by a trademark attorney of your trademark application for    submission to the U.S. Patent & Trademark Office (USPTO) • Upon approval by you, filing your trademark application with the USPTO • * Does not include USPTO filing fees (usually $325 per class of goods and/or    services upon which the mark is used) • Subsequent fees can occur later for responses to Examiner Office Actions,    submitting statements of use, paying renewals, etc. Name * Company * Street Address * City * State * Zip Code * Phone * Email Address * Company Web URL   PAYMENT * MasterCard VISA Discover American Express Credit Card Number * Expiration Date *   ( Enter as xx/xxxx ) Verification Code * Name as it appears on Card * BILLING ADDRESS - Check if billing address is same as above; otherwise provide: Billing Address is the same as above. Billing Address Billing City Billing State Billing Zip HOW DID YOU HEAR ABOUT PREMIER TRADEMARK? * ADDITIONAL COMMENTS AND/OR INSTRUCTIONS Type the following: For security purposes, please type the letters in the image.