Trademark Lodgement Authorisation

Trademark Renewal Authorisation
Trademark Number
Number of Classes
Total - AUD $
Trademark Owner Name
Owner's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal address (If different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional comments if required.
CONTACTING YOU
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number
Class Number:

1234567891011121314151617192021222324252627282930313233343536373839404142434445
Total - AUD $
Total
Total - AUD $
Choose a Payment Type*

Direct DepositCredit Card
DIRECT DEPOSIT TO BANK ACCOUNT:

Account Name: TradeMarks Australia™

Swift Code: BKWAAU6P

Bank: National Australia Bank

BSB: 084-961

Account No: 985196406

Email a copy of the transfer to:

accounts@trademarksaustralia.com.au
Calculation

Trademark Renewal Authorisation