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Request For The Recording Of A Limitation Of The List Of Goods And Services MM6(E) - Official Federal Forms
| Request For The Recording Of A Limitation Of The List Of Goods And Services Form. This is a national form and can be used in Madrid System World Intellectual Property Organization . |
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MM6(E) MADRID AGREEMENT AND PROTOCOL CONCERNING THE INTERNATIONAL REGISTRATION OF MARKS REQUEST FOR THE RECORDING OF A LIMITATION OF THE LIST OF GOODS AND SERVICES (Rule 25 of the Common Regulations) IMPORTANT 1. This request may be presented to the International Bureau directly by the holder or by the Office of the Contracting Party of the holder. 2. The goods and services affected by this limitation may be the subject of a subsequent designation and therefore will continue to be taken into account in the calculation of the supplementary fees at the time of renewal. If these goods and services are to be permanently removed from the International Register, the recording of a cancellation should be requested instead (form MM8). In such a case, those goods and services may no longer be the subject of a subsequent designation and will not be taken into account in the calculation of the supplementary fees at the time of renewal. 3. One single form may be used to request the recording of one limitation for several international registrations, provided that the holder is the same and the same limitation applies to all designated Contracting Parties or to the same designated Contracting Parties for each of the international registrations concerned. World Intellectual Property Organization 34, chemin des Colombettes 1211 Geneva 20, Switzerland Tel. (Switchboard): +41 (0)22 338 9111 Fax (Madrid Registry): +41 (0)22 740 1429 e-mail: intreg.mail@wipo.int Internet: http://www.wipo.int MM6(E) January 2013 American LegalNet, Inc. www.FormsWorkFlow.com MM6(E) REQUEST FOR THE RECORDING OF A LIMITATION OF THE LIST OF GOODS AND SERVICES For use by the holder For use by the holder/Office This request contains, in addition to this form, the following number of continuation sheets: Holder's reference: Office's reference: 1 INTERNATIONAL REGISTRATION NUMBER(S) 2 NAME OF THE HOLDER (as recorded in the International Register) 3 APPOINTMENT OF A REPRESENTATIVE (do not complete this item if there is no change in the representative already recorded in the International Register) Name: Address: Telephone: Fax: E-mail address: Please check this box if you wish to receive electronic communication. By checking this box: (i) any further correspondence from the International Bureau related to this international application and its resulting international registration will be sent only electronically; likewise, (ii) any further correspondence from the International Bureau related to other international applications or international registrations for which the same e-mail address has been provided will 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 application. SIGNATURE OF THE HOLDER APPOINTING THE ABOVE (NEW) REPRESENTATIVE MM6(E) January 2013 American LegalNet, Inc. www.FormsWorkFlow.com MM6(E), page 2 4 CONTRACTING PARTIES (check only one box) (a) the limitation of the list of goods and services indicated in item 5(a) and/or 5(b) is to be recorded for all the Contracting Parties designated in the international registration(s) indicated in item 1; or (b) the limitation of the list of goods and services indicated in item 5(a) and/or 5(b) is to be recorded for the designated Contracting Parties indicated below: MM6(E) January 2013 American LegalNet, Inc. www.FormsWorkFlow.com MM6(E), page 3 5 GOODS AND SERVICES If the space provided below is not sufficient, check the box and use a continuation sheet Please use font "Courier New" or "Times New Roman", size 12 pt, or above Please make consistent use of a semicolon (;) to clearly specify the goods and services indications in your list, e.g.: 09 Scientific, optical and electronic apparatus and instruments; screens for photoengraving; computers; video games. 35 Advertising; compilation of statistics; commercial information agencies. (a) If there are any changes in a given class, specify the full new wording of the list of goods or services for that class: (WARNING: It shall be understood that the list of goods and services which are the subject of the limitation may not be broader than the list contained in the international registration.) (b) If an entire class is to be deleted, indicate only the class number: (WARNING: Any class mentioned under item 5(a), above, must not be indicated under the present item.) Check this box to confirm that any class that is not mentioned under 5(a) or 5(b), above, shall not be affected by the limitation. 6 SIGNATURE BY THE HOLDER OR HIS REPRESENTATIVE Holder (as recorded in the International Register) Representative of the holder (as recorded in the International Register) Name: Name: Signature: Signature: 7 OFFICE PRESENTING THE REQUEST (if applicable) Name of the Office: Signature and/or stamp of the Office: MM6(E) January 2013 American LegalNet, Inc. www.FormsWorkFlow.com MM6(E), page 4 FEE CALCULATION SHEET (a) INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with the International Bureau (if this box is checked, it is not necessary to complete (b)). Holder of the account: Account number: Identity of the party giving the instructions: (b) AMOUNT OF FEES; METHOD OF PAYMENT Amount (177 Swiss francs) x (per international registration mentioned in item 1) Grand total (Swiss francs) Identity of the party effecting the payment: WIPO receipt number Payment received and acknowledged by WIPO Payment made to WIPO bank account IBAN No. CH51 0483 5048 7080 8100 0 Credit Suisse, CH-1211 Geneva 70 Swift/BIC: CRESCHZZ80A Payment identification dd/mm/yyyy Payment made to WIPO postal account IBAN No. CH03 0900 0000 1200 5000 8 Payment identification dd/mm/yyyy Swift/BIC: POFICHBE MM6(E) January 2013 American LegalNet, Inc. www.FormsWorkFlow.com CONTINUATION SHEET No: .......... of .......... MM6(E) January 2013 American LegalNet, Inc. www.FormsWorkFlow.com
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