Kia Kamran P.C.

Trademark Questionnaire

PLEASE FILL OUT THE INFORMATION BELOW TO THE BEST OF YOUR KNOWLEDGE.

Please click here if you would like to obtain a downloadable version of this questionnaire.

Name *
Name
Phone Number *
Phone Number
(If an individual, please provide full legal name and country of citizenship, if a corporation, LLC, or other form of entity [must exist at the time of registration], please list officers; members, partners, etc. and their titles.)
(i.e. STARBUCKS will be “sales of coffee to consumers, coffee, coffee paraphernalia” and Jiffy Lube will be “oil change and mechanical services for consumers and their automobiles”)
(i.e. date of your first sale of product bearing the Mark across state lines, or the first date in which you rendered any of the services for which the Mark is being registered across state lines. Please also provide information as to the first in-state sale or rendering of services, if earlier)