Free Trademark Reservation.pmd - Washington

TRADEMARK RESERVATION
(Per Chapter 19.77 RCW)

F O R O F F I C E U S E O N L Y

FEE: $30 PER CLASSIFICATION NUMBER
· Please PRINT or TYPE in black ink · Sign, date and return original AND ONE COPY to: CORPORATIONS DIVISION 801 CAPITOL WAY SOUTH · PO BOX 40234 OLYMPIA, WA 98504-0234 · BE SURE TO INCLUDE FILING FEE. Checks should be made payable to "Secretary of State"
IMPORTANT! Person to Contact about this Filing
FOR OFFICE USE ONLY

EXPEDITED (24-HOUR) SERVICE AVAILABLE ­ $20 PER ENTITY INCLUDE FEE AND WRITE "EXPEDITE" IN BOLD LETTERS ON OUTSIDE OF ENVELOPE

File Number

Email Address

(Area Code) Daytime Phone Number

Expiration Date

Reservation is valid for 180 days. Reservation is non-renewable.
APPLICANT
Name City Address State or Country ZIP or Postal Code

Authorized agent filing on behalf of applicant:
Name City Address State or Country ZIP or Postal Code

DESCRIPTION Describe the trademark exactly as it is to be registered. Enclose sample with this application.

Circle all Goods or Services Classification Numbers that apply: (See WAC 434-12-015 or www.secstate.wa.gov/corps/ for a complete description of each of the classifications.) Goods 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Chemical Paints Cosmetics & Cleaning Lubricants & Fuels Pharmaceuticals Metal Goods Machinery Hand Tools Electrical & Scientific Medical Apparatus Environmental Control Apparatus Vehicles Firearms Jewelry Musical Instruments Paper Goods & Printed Matter Rubber Goods 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. Goods Cont. Leather Goods Nonmetallic Building Materials Furniture & Other Articles Housewares & Glass Cordage and Fibers Yarns and Threads Fabrics Clothing Fancy Goods Floor Coverings Toys & Sporting Goods Meats & Processed Foods Staple Foods Natural Agricultural Products Light Beverages Wines and Spirits Smoker's Articles 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. Services Advertising & Business Insurance & Financial Construction & Repair Telecommunications Transportation & Storage Treatment of Materials Education & Training Scientific & Technological Food, Drink & Lodging Medical, Veterinary, & Hygenic Personal & Social

F O R O F F I C E U S E O N L Y 01-003 (01/05)

SIGNATURE

Signature of Applicant or Client

Printed Name

Title

Date

INFORMATION AND ASSISTANCE ­ 360/753-7115 (TDD ­ 360/753-1485)