Trademark Intake Form

Applicant Information

Owner of Mark

Person or company name that you want to be listed as the owner of this trademark application.

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

(required for U.S. applicants)

Website Address

(optional)

http://

Legal Entity Information (required if the applicant is a company, not required if the applicant is an individual)

Company Name

Type of Business

Type of Services or Products

State/Country of Incorporation

Mark Information

Standard Character Mark

(if the mark is a standard character mark, type in the characters below)

Description of goods and services for which the mark will be used:

Has the mark already been used in commerce? If so, please provide the following information:

Date of First Use

YYYY

Date of First Use in Commerce

YYYY

To begin the trademark process, please fill out the following form.

Thank you! ICS-P Online will perform a conflict check on your mark and get back to you shortly!