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CONTACT INFORMATION
Contact name:
Business name (if any):
Address
City
State / Zip
Country
Contact email address:
Contact phone (xxx-xxx-xxxx):
Check here if you are an attorney representing a client:
 
TRADEMARK INFORMATION
 
The Name (Trademark) You Want Searched (the trademark can be the name of your company, the name of a product, or
the name of a service):
Is the Name (Trademark) for a product(s)?:
If yes, briefly describe the product:
Is the Name (Trademark) for a service(s)?:
If yes, briefly describe the service:
Is the Name (Trademark) for the
name of your Business?:
 
MARKET INFORMATION
Briefly describe your business market:
SIC Code
What Geographic Locations does your business serve
(list states, and/or countries):
 
PAYMENT INFORMATION
 
Comprehensive TM Search & Report $239.00      Click to see list of databases searched for Comprehensive Search & Report
 
Card Type
Card Number (no spaces or dashes please)
Expiration Date /
Name on Card: First
Last
Address
City
State Zip
Country
 
Click the "Continue" button to proceed and review your information.

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You will only be charged after reviewing the information and
authorizing the charge on the next page.
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