NASHVILLE TRANSFERS INTELLECTUAL PROPERTY AUTHORIZATION & TRADEMARK VERIFICATION FORM
info@nashvilletransfers.com
NashvilleTransfers.com
(615) 948-6994
1. CUSTOMER INFORMATION
2. OWNERSHIP CERTIFICATION
Customer Name:
I certify that I own or have obtained all rights, licenses, permissions, and authorizations necessary to reproduce, print, transfer, embroider, engrave, or otherwise produce the artwork submitted with this order.
Company Name:
Phone:
Format: (000) 000-0000.
Email:
example@example.com
I understand Nashville Transfers relies upon my representations regarding ownership and authorization.
Order Number:
Customer Initials:
Date:
-
Month
-
Day
Year
Date
3. TRADEMARK VERIFICATION
4. DOCUMENTATION PROVIDED
Please check all that apply:
Please check all that apply and attach a copy.
Trademark Verification Options
I am the trademark owner.
I am the copyright owner.
I am an authorized representative of the owner.
I possess a valid licensing agreement.
I have written authorization from the rights holder.
The artwork is original and does not infringe upon any third-party rights.
Documentation Provided Options
Trademark Registration Certificate
Copyright Registration Certificate
Licensing Agreement
Written Authorization Letter
Purchase Order from Rights Holder
Corporate Email Verification
Other
5. ORGANIZATION / BUSINESS INFORMATION (If applicable)
Organization Name:
Organization Website:
Position / Title:
Business Email Address:
example@example.com
6. INDEMNIFICATION AGREEMENT
7. ACKNOWLEDGMENT
I agree to defend, indemnify, and hold harmless Nashville Transfers, its owners, employees, contractors, successors, and affiliates from any and all claims, damages, liabilities, costs, and attorney fees arising from the production of the submitted artwork.
I understand submission of this form does not guarantee acceptance of my order.
Nashville Transfers reserves the right to refuse any order involving suspected trademark, copyright, licensing, or intellectual property violations.
Customer Initials:
Customer Initials:
8. SIGNATURE
Printed Name:
Signature:
Date:
-
Month
-
Day
Year
Date
IMPORTANT NOTICE
Submitting this form does not transfer liability to Nashville Transfers. Customers are solely responsible for obtaining proper authorization for any trademarked, copyrighted, licensed, or protected artwork submitted for production.
Preview PDF
Submit
Should be Empty: