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Trademark Reservation - Washington

Trademark Reservation Form. This is a Washington form and can be used in Trademark Secretary Of State .
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Washington Trademark Reservation See attached detailed instructions Trademark Reservation $30 per classification Add $50 to your fee for Expedited Service Expiration Date: File Number: TRADEMARK RESERVATION Chapter 19.77 RCW SECTION 1 NAME AND ADDRESS OF APPLICANT Name: __________________________________________________________________________________ Address: ___________________________________________________________________________ City__________________________________ State ______ Zip Code __________ NAME AND ADDRESS OF CLIENT (if different from the applicant) Name: __________________________________________________________________________________ Address: ___________________________________________________________________________ City__________________________________ State ______ Zip Code __________ SECTION 2 TRADEMARK SPECIFIC INFORMATION: * If art or graphics are part of the trademark include one original sample with this form (see instructions page) Describe the trademark as it is to be registered: Goods or Services Classification Number(s): (see list on page 2): Trademark is used for: Goods Services of the following description: Trademark Reservations are good for 180 days. Reservations are not renewable. Continued on page 2 Trademark ­ Reservation Washington Secretary of State Revised 07/10 American LegalNet, Inc. www.FormsWorkFlow.com This Box For Office Use Only Page 1 of 2 Page 2 of 2 SECTION 3 SIGNATURE OF APPLICANT This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct. X __________________________________________________________________________ APPLICANT SIGNATURE Printed Name/Title Date Phone Number GOODS OR SERVICE CLASSIFICATION NUMBERS: (See WAC 434-12-015 for a complete description of each classification) Goods 1. Chemical 2. Paints 3. Cosmetic & Cleaning 4. Lubricants & Fuel 5. Pharmaceuticals 6. Metal Goods 7. Machinery 8. Hand tools 9. Electrical & Scientific 10. Medical Apparatus 11. Environmental Control Apparatus 12. Vehicles 13. Firearms 14. Jewelry 15. Musical Instruments 16. Paper Goods & Printed Matter 17. Rubber Goods Goods 18. Leather Goods 19. Nonmetallic Building Materials 20. Furniture & Other Articles 21. House wares & Glass 22. Cordage and Fibers 23. Yarns and Threads 24. Fabrics 25. Clothing 26. Fancy Goods 27. Floor Coverings 28. Toys & Sporting Goods 29. Meats & Processed Foods 30. Staple Foods 31. Natural Agricultural Products 32. Light Beverages 33. Wines and Spirits 34. Smoker's Articles Services 35. Advertising & Business 36. Insurance & Financial 37. Construction & Repair 38. Telecommunications 39. Transportation & Storage 40. Treatment of Materials 41. Education & Training 42. Scientific & Technological 43. Food, Drink & Lodging 44. Medical, Veterinary & Hygienic 45. Personal & Social INSTRUCTIONS ­ TRADEMARK RESERVATION Please complete all sections of the Trademark Reservation. USE DARK INK ONLY. For an electronic, fillable version of this form, please visit our website at http://www.sos.wa.gov/corps/ Section 1 Provide the name and address of the applicant, and the name and address of the client if different than the applicant. Section 2 Describe the trademark as it is to be registered. Provide the classification number(s) that apply. If art or graphics are part of this trademark enclose a sample with this form. Section 3 Provide the signature, title, date, and phone number of the authorized person signing. Additional Information: FEES: The filing fee for a trademark reservation is $30.00 per classification. If expedited service is requested then add $50 to your total. (ALL fees are non refundable) Mail completed forms and payment to: Secretary of State, Corporation Division, 801 Capitol Way S, PO Box 40234, Olympia WA 98504-0234 If you have questions, need assistance or would like to provide feedback please visit the Corporations Division website at www.sos.wa.gov/corps or call 360-725-0377. Trademark ­ Reservation Washington Secretary of State Revised 07/10 American LegalNet, Inc. www.FormsWorkFlow.com
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