TRADEMARK REGISTRATION (9 VSA, Ch. 71)

Vermont Secretary of State, 81 River Street,  Montpelier, VT 05609-1104  

NAME OF TRADEMARK  

NAME OF OWNER                         Street                City                       State/zip   
GENERAL NATURE OF APPLICANT'S BUSINESS:  

DESCRIPTION OF GOODS:

EXPLAIN HOW MARK IS USED IN CONNECTION WITH THE GOODS:

Note:  The label, packaging, or a picture, that clearly shows the trademark, and how it will be attached to the product, must be included with this application.

NUMERICAL CLASS OF GOODS:  (to see list click here: Trademark Classifications)

DATE WHEN TRADEMARK WAS FIRST USED OR ADOPTED: 

I certify that the foregoing information is accurate and that no other person has the right to the trademark, either in the identical form, or having such near resemblance thereto as may be calculated to deceive, or that would be liable to be mistaken therefore.

Owner #1 Signature:_________________________________________________________________

Owner #2 Signature:_________________________________________________________________

Owner #3 Signature:_________________________________________________________________

Subscribed and sworn to before me this__________________ day of_________________________

Notary Public signature_____________________________commission expiration date: ________
Fee: $20.00