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Application For International Registration Governed By Both The Madrid Agreement And The Madrid Protocol MM3(E) - Official Federal Forms

Application For International Registration Governed By Both The Madrid Agreement And The Madrid Protocol Form. This is a national form and can be used in Madrid System World Intellectual Property Organization .
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MM3(E) MADRID AGREEMENT AND PROTOCOL CONCERNING THE INTERNATIONAL REGISTRATION OF MARKS APPLICATION FOR INTERNATIONAL REGISTRATION GOVERNED BY BOTH THE MADRID AGREEMENT AND THE MADRID PROTOCOL (Rule 9 of the Common Regulations) IMPORTANT 1. The present MM3 form is to be used where the international application is governed by both the Madrid Agreement and the Madrid Protocol. This will be the case where the Office of origin (see items 1 and 3) is the Office of a Contracting Party which is bound by both the Madrid Agreement and the Madrid Protocol, and where the international application designates at least one Contracting State party to the Madrid Agreement but not to the Madrid Protocol and at least one Contracting Party to the Madrid Protocol, irrespective of whether or not that Contracting Party is also party to the Madrid Agreement. 2. If the international application is governed exclusively by the Madrid Agreement, the form to be used is form MM1. If it is governed exclusively by the Madrid Protocol, the form to be used is form MM2. 3. This form must be sent to the Office of origin. It must not be sent directly to the International Bureau. World Intellectual Property Organization 34, chemin des Colombettes 1211 Geneva 20, Switzerland Tel. (Madrid Customer Service): +41 (0)22 338 8686 Fax (Madrid Registry): +41 (0)22 740 1429 e-mail: intreg.mail@wipo.int ­ Internet: www.wipo.int MM3(E) ­ March 2014 American LegalNet, Inc. www.FormsWorkFlow.com MM3(E) APPLICATION FOR INTERNATIONAL REGISTRATION GOVERNED BY BOTH THE MADRID AGREEMENT AND THE MADRID PROTOCOL For use by the applicant For use by the Office This international application includes the following number of: ­ continuation sheets: Office's reference: ­ MM17 forms: Applicant's reference: 1 CONTRACTING STATE WHOSE OFFICE IS THE OFFICE OF ORIGIN 2 APPLICANT (a) Name: (b) Address: (c) Address for correspondence: (d) Telephone : Fax: E-mail address: By providing an e-mail address, any further correspondence from the International Bureau related to this international application and its resulting international registration will be sent only electronically and, therefore, you will no longer receive any paper correspondence. Likewise, any further correspondence from the International Bureau related to other international applications or international registrations for which the same e-mail address has been, or will be, provided will also be sent only electronically. Please note that, for the purpose of electronic communication, there can be only one e-mail address recorded per each international registration. (e) Preferred language for correspondence: English French Spanish (f) Other indications (as may be required by certain designated Contracting Parties; for example, if the United States of America is designated, it is necessary to include these indications): (i) if the applicant is a natural person, nationality of the applicant: (ii) if the applicant is a legal entity: ­ legal nature of the legal entity: ­ State and, where applicable, territorial unit within that State, under the law of which the legal entity is organized: MM3(E) ­ March 2014 American LegalNet, Inc. www.FormsWorkFlow.com MM3(E), page 2 3 ENTITLEMENT TO FILE (a) Check the appropriate box: (i) the applicant has a real and effective industrial or commercial establishment in the Contracting State mentioned in item 1; (ii) if there is no such establishment in a Contracting State of the Agreement, the applicant is domiciled in the Contracting State mentioned in item 1; (iii) if there is no such establishment or domicile in a Contracting State of the Agreement, the applicant is a national of the Contracting State mentioned in item 1. (b) Where the address of the applicant, given in item 2(b), is not in the territory of the Contracting State mentioned in item 1, indicate in the space provided below: (i) (ii) if the box corresponding to paragraph (a)(i) of the present item has been checked, the address of the applicant's industrial or commercial establishment in that State, or, if the box corresponding to paragraph (a)(ii) of the present item has been checked, the domicile of the applicant in that State. 4 APPOINTMENT OF A REPRESENTATIVE Name: Address: Telephone: Fax: E-mail address: By providing an e-mail address, any further correspondence from the International Bureau related to this international application and its resulting international registration will be sent only electronically and, therefore, you will no longer receive any paper correspondence. Likewise, any further correspondence from the International Bureau related to other international applications or international registrations for which the same e-mail address has been, or will be, provided will also be sent only electronically. Please note that, for the purpose of electronic communication, there can be only one e-mail address recorded per each international registration. 5 6 BASIC REGISTRATION Basic registration number: Date of the basic registration: (dd/mm/yyyy) PRIORITY CLAIMED The applicant claims the priority of the earlier filing mentioned below: Office of earlier filing: Number of earlier filing (if available): Date of earlier filing: (dd/mm/yyyy) If the earlier filing does not relate to all the goods and services listed in item 10 of this form, indicate in the space provided below the goods and services to which it does relate: If several priorities are claimed, check the box and use a continuation sheet giving the above required information for each priority claimed. MM3(E) ­ March 2014 American LegalNet, Inc. www.FormsWorkFlow.com MM3(E), page 3 7 THE MARK (a) Place the reproduction of the mark, as it appears in the basic registration, in the square below. (b) Where the reproduction in item (a) is in black and white and color is claimed in item 8, place a color reproduction of the mark in the square below. (c) The applicant declares that he wishes the mark to be considered as a mark in standard characters. The mark consists exclusively of a color or a combination of colors as such, without any figurative element. (d) Where the Office of origin has addressed this form by facsimile, the present space must be completed before addressing the original of this page to the International Bureau. Number of basic registration or Office reference as shown on the first page of this form: Signature by the Office of origin: 8 COLOR(S) CLAIMED (a) The applicant claims color as a distinctive feature
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