TRADEMARK REGISTRATION CLIENT INTAKE FORM
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Name (If Any)
Industry (If any)
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Structure (if applicable)
Please Select
Sole-Owned LLC
Multi-Member LLC
Partnership
C-Corp
S-Corp
B-Corp
NFP Organization or Ministry
Website Address:
What time zone you are in?
BOI FILING
If you select this option, we will send you a spare form to complete. You will be assessed an additional fee for this federal regulatory filing.
Please select one
Yes
No
TRADEMARK INFORMATION
Federal Trademark Registration Request
Please Select
Brand Name
Brand Logo
Brand Slogan
Brand Design (Trade Dress)
Requested Trademark
Do you need us to file more than one federal trademark application?
Please Select
Yes
No
I need help with this decision
If you need our legal services for more than on federal trademark application, please list your other brand names, logos, or slogans in this section
If you are requesting a logo trademark or a stylized name trademark, please provide a JPG or JPEG version of it here.
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Is color an important feature of your trademark? [Special Note: If we include one or more specific colors in your federal trademark application, the color(s) cannot be changed.]
Yes, the color(s) is important. I understand I cannot change the color(s) listed in my trademark application
No, the color(s) of my brand is not an important feature of my brand
When do you want to start the federal trademark registration process?
Please Select
Immediately (5 days or less) - RUSH FEE $250
2 weeks or less
2-4 weeks
4-8 weeks
Geographic area of brand usage
Please Select
USA Only
USA + International
Please describe your products and services
Please provide the name of the person or entity who will own the trademark
If there will be more than one owner of the trademark, please provide the co-owner(s) name, email address, mailing address, and phone number.
When was the first date you used the trademark to sell or advertise your products or services?
(If you have not yet begun "use" of your trademark please put N/A for not applicable.)
ATTORNEY ENGAGEMENT AGREEMENT
Agreed to and Accepted By:
New Client Signature
Signature Date
-
Month
-
Day
Year
Date
Agreed to and Accepted By:
Schedule Your Trademark Strategy Consultation Call
Brillionaire® Trademark Package
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USD
Enter Amount: Full Pay Option ($2495 due now) or Pay Plan Option ($1247.50 deposit due now and the balance due within 30 days). The fee amount includes the USPTO Filing Fee for 1 TM Class (up to $350). Legal services begin as soon as payment is received. However, the filing is submitted upon receipt of full payment. The additional fee $500 for the BOI filing has been waived for Small Business Saturday/Cyber Monday.
Payment Methods
Credit Card
ACH Bank Transfer
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