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Assignment Document

REGISTERING A TRADEMARK

Fill this form to file a Trademark, Service Mark, Commercial Name or Slogan. You will be contacted as soon as we receive your instructions.


Trademark:
International Class:
Specification of goods or services:
Country:
APPLICANT'S IDENTIFICATION
Applicant's Name:
Address:
City / State:		Zip / P.O. Box:
Country:
Nationality:	Phone: Fax:
Priority
Application N^o	Date: Country:
CONTACT INFORMATION (same address as above)
Name:		Last Name:
Company / Firm:
Address:
City / State:		Zip / P.O. Box:
Country:
Email:	Phone: Fax:
Your reference:
Other:
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