Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]
For Office Use Only
Application for Reservation of Trade Name
Pursuant to W.S. 40-2-103(a) any person intending to adopt a trade name for use and intending to apply for registration of a trade name may reserve the trade name by delivering an application to the secretary of state for filing. 1. Name of applicant:
2. Address of applicant:
3. Proposed name to be reserved:
4. For name availability purposes list the type of business the company will be conducting:
Date:
(mm/dd/yyyy)
Signature: ___________________________________________ Print Name: Title:
Contact Person: Daytime Phone Number: Checklist Filing Fee: $30.00 Make check or money order payable to Wyoming Secretary of State. Please submit one originally signed document and one exact photocopy of the filing. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents.
TN-NameReservation Revised 12/2008