SUPPLEMENTAL REGISTER APPLICATION

 

 

REGISTRATION OF TRADEMARK IN THE UNITED STATES PATENT AND TRADEMARK OFFICE

 

Mark:  __________________________________

 

Class Number:  __________________________________

 

TO THE COMMISSIONER OF PATENTS AND TRADEMARKS:

 

(Insert appropriate identification of applicant)

 

The above identified applicant has adopted and is using the trademark shown in the accompanying drawing for _________________________________ (Common, Usual or Ordinary Name of Product) and requests that such mark be registered in the United States Patent and Trademark Office on the Supplemental Register established by the Act of July 5, 1946.

 

The trademark was first used on the goods on _____________ (Date); was first used in __________________________________________ (Type of Commerce) commerce on ______________ (Date); and is now in use in such commerce.

 

The mark is used by applying it to ___________________________________ (Manner of Application, such as the goods or labels affixed to the ________________________ (Product)).  Five specimens showing the mark as actually used are presented herewith.

 

(Power of attorney may be inserted at this point in the application or may be on a separate sheet.  If power of attorney to be part of application, add:

POWER OF ATTORNEY

 

Applicant hereby appoints ____________________________________ (Names(s)), of ________________________________________________________________ (Address), _____________________________________ (an Attorney or Attorneys at law or Other Title, such as:  secretary of the applicant corporation) to prosecute this application to register, to transact all business in the Patent and Trademark Office in connection therewith, and to receive the certificate of registration.)

 

 

 

______________________________                     _____________________

Signature                                                                   Date