Trademark client Thanks for the opportunity to work with you. Please take a few minutes to fill out this in-take form. Your name Primary email Your residential address Phone Who will be the owner of the trademark? —Please choose an option—You as individualYour companyYou as individual, but you have a D/B/A name The following information will be published in the TSDR as required by law. If you prefer not to disclose your personal information, consult your attorney about your options. Trademark owner's name (legal full name) Nationality —Please choose an option—U.S. CitizenOther Country of citizenship Email address to go on the USPTO record Physical address (Street Address & ZIP code) Phone Your company's name Your company's email address Country where your company is incorporated —Please choose an option—United StatesOther Your business address (Street Address & ZIP code) After submitting this form, please be prepared to provide a document that legally establishes your company. Unless your business is incorporated, the owner's name will be also on the record. D/B/A name Your business email The following information will be published in the TSDR as required by law. If you prefer not to disclose your personal information, consult your attorney about your options. Trademark owner's name (legal full name) Nationality —Please choose an option—U.S. CitizenOther Country Email address Residential address (Street Address & ZIP code) Phone
