Vermont Secretary of State, 128 State Street, Montpelier, VT 05633-1101
NAME OF TRADEMARK
NAME OF
OWNER
Street
City
State/zip
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:
________
GENERAL NATURE OF APPLICANT'S BUSINESS:
Fee: $20.00