Free LicenseeApp - Wyoming

S tat e o f W y o m i n g l i c e n s i n g pac ket

Out-of-State Bucking Horse & Rider Agreement
This agreement has been established for those manufacturers based out of Wyoming seeking use of the Bucking Horse & Rider mark or other State trademarks as shown on the application. There are no upfront fees or costs for this agreement, but does require the collection and submission of royalties at a 7.5% rate (royalties are based on wholesale value of the commercial product). With the exception of select product categories, product liability insurance is not required. Licensing Steps: · Submit a completed licensing application. Along with the application, please submit a sample of the products currently produced by your company. · If application is approved, a contract will be returned for licensees review and signature. · Once a license agreement has been fully executed, a disk containing the necessary graphics will be provided. · Licensee must then submit a finished sample bearing the licensed marks of the University or State. Once Licensed: · Affix an officially licensed label as shown below to each product that will be resold by a retailer, etc. · Include if at all feasible your company's name on the product. · Submit all designs (i.e. screenprinters/ embroiders) and new products for review and approval. · Submit royalty reports and appropriate royalties on a quarterly basis. *Always refer to the actual licensing agreement as it relates to requirements, payments, etc.

Out-of-State Bucking Horse & Rider Licensing Application
Please complete as much of this application as possible. This information will be used to determine whether a license should be granted to you/your company. Company Information Company Name:________________________________________________________________________ Company known as:_____________________________________________________________________ Company also doing business as:___________________________________________________________ Street Address:__________________________________________________________________________ Mailing Address:________________________________________________________________________ City:_________________________________ State:_________________ Zip code:__________________ State in which your company or parent company is based________________________________________ Principle Licensing Contact:_______________________________________________________________ Phone number:_______________________ fax:___________________ toll free #:__________________ email address:_____________________________ Company Website:________________________

Company Description Type of organization (select one): u Corporation u Partnership u Proprietorship u Other

Owner/Partner name(s)_________________________________________________________________________ Number of Employees (including self)___________ Other licenses currently held (ie. Disney, Notre Dame, NFL, etc.) _________________________________________ ____________________________________________________________________________________________ Products currently produced and sold by you/your company______________________________________________ ____________________________________________________________________________________________ Are you a ...(answer each question with a yes or no) Retailer yes/no Distributor/Wholesaler yes/no Ad Specialty yes/no ASI #___________________________

Product & Manufacturing Information Please list below the products to which you wish to apply licensed marks:

Product Description

Approx Wholesale Cost $:

____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________

Distribution & Sales Information Does your business currently have a sales representative that actively seeks business from third parties? If yes, does this sales representative travel to Wyoming to call on accounts? u Yes u No u Yes u No

Where do you expect a majority of your licensed products to be sold? (Please mark only those that apply) u State Depts. u Fundraisers u Concessionaire u Department Stores u Regional Mass Merchants u Sports Specialty Stores u Convenience Stores u Tourist Oriented Stores u Mom & Pop Stores u Grocery Stores u Catalogs u Craft Shows u Other u Internet u Own Retail Operation u Walk-in Business u Flee Markets

If "Other" please explain: _____________________________________________________________________________ __________________________________________________________________________________________________ State Trademarks

The State's ownership would also include any confusingly similar versions.
If product liability insurance is deemed necessary, you will be notified when a contract is returned. Please do not purchase this insurance until a licensing agreement has been executed by both parties. I hereby affirm that my answers to the above questions are, to the best of my ability, true, accurate, and complete. Name:_______________________________________________Title:_____________________Date:________________ Please return application to: Trademark Licensing Office Dept. 3322 1000 E. University Ave. Laramie, WY 82071 For UPS or FedEx shipments please send to: University of Wyoming Trademark Licensing WYO Hall 356 c/o Shipping & Receiving 15th & Gibbon St. Laramie, WY 82071

Internal use only: Application received:__________ Quality Sample:___________

Contract sent to Lic:____________ Contract sent to Legal:___________

Artwork sent to Lic:___________