1. Company Information

Name:
Company:
Street Address:
City:
State:
Zip Code:
Phone Number:
Email Address:

2. Trademark Name


3. Include Documentation optional

Upload a document or graphic.

Send any documents, logos or graphics to:
submission@trademarkmyname.com

4. Is this trademark currently in use?

yes

no

5. What is the industry
Describe the types of goods described by mark (automobile, television, education).


6. Choose your trademark application service [results within 5 business days]:

	Basic Federal Database Search - $99 >Federal Trademark Databases (direct hits, close marks) - Search for direct and near hits and for phonetic equivalents. - Clear for common Trademark Office rejections, including: - Check for descriptiveness - Check for surname issues - Check for geographic descriptiveness - Check for scandalous mark
	Comprehensive Trademark Search - $379 >Basic Federal Database Search (above), plus search of: - Comprehensive State Trademark Databases (all fifty states) - Common Law Database of over 15,000,000 records - Worldwide Website Name Database
	File a Trademark / Service Mark - $199* >Professional Preparation of Trademark Application - Application made by an attorney specializing in trademark law. - Application sent to you in 5 business days. - Legal analysis of any trademark searches you have done. - After your approval, sent to U.S. Patent and Trademark Office.
	Complete Trademark Search & Registration - $499* Includes all of the above services ($578 value for $499) >Comprehensive Trademark Search >File a Trademark

7. Trademark Options

	$150 - Service for both trademark & logo.
	$99/year - Trademark maintenance & support**: Monthly federal searches for updates to maintain trademark Regular email reports

8. Payment Method (MC / Visa / Amex / Discover)

Credit Card Number
Expiration Date	01  02  03  04  05  06  07  08  09  10  11  12  /  2004 2008  2006  2008  2008 2009 2010 2011
Discover Card*	(Discover 3-digit code)
Other method (invoice or check)

National Trademark Center,LLC