INTAKE FORM: Trademarking A Business Name
This form will help you collect the information you need to present to your attorney in order to
trademark or service mark your business name.
Business' legal status:
Corporation (type: _____________________)
If business is a partnership:
Name of each general partner:
If business is a corporation:
State of incorporation:
Description of Use of Mark
What goods will the mark be used on or in connection with?
(The goods should be identified in clear and precise language, e.g., ''computer programs for use
by accountants,'' or ''retail food store services.")
What services will the mark be used in connection with?
In what manner will the mark be used on or in connection with goods or services?
On labels attached to goods?
In advertisements for services?
In interstate commerce?
In commerce between United States and specified foreign country or countries?
What is the class number(s) of the goods or services you will use the mark in connection with?
Dates of Mark's Use
If mark has been used in commerce:
When was the mark first used in commerce?
When was the mark last used in commerce, if not currently in use?
If mark has not been used in commerce:
What facts evidence your bona fide, good-faith intent to use mark in commerce?
When do you plan to use mark in commerce?
Other Uses of Mark
Will any other entity be using mark?
What is the entity's name and owners:
What is the entity's address and telephone number?
Does this entity control your business, or does your business control the entity, with
regard to the nature or quality