Order

FOR

You Worked Hard to Build It; Let Us Help You Protect it.

Protect your Name; Protect your Brand; Protect your Company Slogan; Protect your Logos.

Street Address

City, State, Zip Code

AGREED BY: Robert J. Sciglimpaglia, Jr.; YOUR SIGNATURE (TYPE YOUR NAME BELOW TO ACCEPT)

If so, When was the First Date you started using your trademark?:

Phone

Name of Trademark Holder: *

Have you started using your Trademark in commerce?

Yes

Check here to receive email updates

Nothing due now. Balance of $495, plus filing fee per application due on filing

What Exact Words Would You Like Trademarked: (If TM is a logo, we will ask for a .jpeg prior to filing)

ARTISTS

TRADEMARKS

IF LLC or CORP enter NAME: *

What services will the trademark represent: (Ie, Acting, Voice Over, Author, Photography, Band)

Is the Trademark Holder

An Individual

An LLC

A Corporation

RETAINER AGREEMENT

Nothing due now. Balance of $495, plus filing fee per application due on filing.

Website: