Authorization of Trademark Use
for subordinate Temples/Courts of AEAONMS
Name of Person Requesting
*
Temple/Court and Number
*
Oasis
*
Desert
*
Phone Number
-
Area Code
Phone Number
Email
*
Confirmation Email
example@example.com
Name of the Event
*
Type of Event
*
Community Service
Fundraiser
Ball/Gala
Desert Conference
Save the Date
Print/Marketing Materials
Department Use
Date of the Event
*
/
Month
/
Day
Year
Date
Has a Dispensation request already been approved by the Imperial Council/Court?
*
Yes
No
N/A
Upload Approved Dispensation
Browse Files
Cancel
of
Notes
Understanding of Trademark Use
By submitting this form, I understand that this is merely a request and that authorized use of the AEAONMS trademark is not granted without receipt of authorization from the Imperial Council/Court or its designee (Imperial Media Relations). Additionally, I understand that unauthorized use is subject to legal or corrective actions.
I understand and agree to the terms of the AEAONMS Trademark use
*
Yes
No
Prohibited Use
I understand that if authorization is approved, it is approved for the event listed above ONLY. Furthermore, I understand that I am prohibited from use of the logo in any other scenario (to include but not limited to: sharing with unapproved vendors, unapproved events by the Imperial Council, or any use outside of the listed event above). By signing, I acknowledge that violation of use of the AEAONMS trademark is subject to legal or corrective actions.
I understand and agree to the Prohibited usage of the AEAONMS Trademark
*
Yes
No
Illustrious Potentate
*
Illustrious Potentate Email
*
Confirmation Email
example@example.com
Deputy of the Oasis
*
Deputy of the Oasis Email
*
Confirmation Email
example@example.com
Signature
*
Save
Submit
Clear Form
Print Form
Should be Empty: