Trademark Intake

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Legal name of Entity - Including business type (LLC, inc, etc.)* This field is required.
5
Principal Business Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Website
7
What are you trying to protect* This field is required.A word mark consists only of "literal elements" (words); a design mark may consist of words and images; a sound mark is for a commercial jingle or other forms of "sound branding."
Word Mark
Design Mark
Sound Mark
8
Spell it out EXACTLY as you wish it to appear on the application. * This field is required.Lloyd & Mousilli's default is to use all caps; this covers all variations in capitalization. However, we can apply with any variation in capitalization as long as the evidence we submit matches.
9
Please upload high quality image.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
10
Do you wish to claim color as a feature of your mark? If you anticipate using a variety of different versions of your logo in different colors, do not claim color.* This field is required.
YESNO
11
Please upload sound file.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
12
Was the mark ever used anywhere?* This field is required.
YESNO
13
When was the date of first use anywhere?* This field is required.
Date
Year
Month
Day
14
Is the mark currently in use in commerce?* This field is required.i.e. you have goods or services currently available for purchase by the general public
YESNO
15
When did you begin to use this mark in commerce?* This field is required.
Date
Year
Month
Day
16
Do you intend to sell goods or service?* This field is required.
Goods
Service
17
Which category in goods does best describe your mark?* This field is required.
001 - Chemicals
002 - Paints
003 - Cleaning Substances
004 - Industrial Oils
005 - Pharmaceuticals
006 - Common Metals
007 - Machines
008 - Hand Tools
009 - Computers and Scientific Devices
010 - Medical Supplies
011 - Appliances
012 - Vehicles
013 - Firearms
014 - Precious Metals
015 - Musical Instruments
016 - Paper Goods
017 - Rubber Products
018 - Leather Goods
019 - Building Materials
020 - Furniture
021 - Household Utensils
022 - Ropes and Textile Products
023 - Yarns and Threads
024 - Textiles
025 - Clothing
026 - Lace and Embroidery
027 - Carpets
028 - Games and Sporting Goods
029 - Meat, Fish, Poultry
030 - Coffee, Flour, Rice
031 - Grains, Agriculture
032 - Beers and Beverages
033 - Alcoholic Beverages
034 - Tobacco Products
18
Which category in service does best describe your mark?* This field is required.
035 - Advertising and Business Services
036 - Insurance and Finance Services
037 - Construction and Repair Services
038 - Telecommunications Services
039 - Shipping and Travel Services
040 - Material Treatment Services
041 - Education and Entertainment Services
042 - Science and Technology Services
043 - Food Services
044 - Medical and Vet Services
045 - Legal and Security Services
19
Give some more information about the goods and service you're selling with your trademark.* This field is required.
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Large
Normal
Small
Ok
Ok
20
Are you aware of of any existing similar marks that could pose a barrier to the registration of your mark?* This field is required.
YESNO
21
Describe existing similar marks that could pose a barrier to registration of your mark?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
22
Name some of your business's competitors who offer similar goods and services?* This field is required.Better if you can include their website.
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Large
Normal
Small
Ok
Ok
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