Form Mark-1a - Mark Disclaimer

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STATE OF MAINE
MARK DISCLAIMER
(To be filed with registration)
A.
I hereby disclaim the exclusive right to (describe portion of text or feature disclaimed):
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
In regards to the registration of:
B.
1. TEXT - list word(s) to be protected, if any (if none, so indicate):
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
2. FEATURES - describe in detail the design to be protected, if any (if none, so indicate):
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
NOTE: Text and Features must be stated as appears on registration form.
C.
TYPE OF MARK: ("X" one box only)
!
Trademark - a mark applied to goods applicant manufactures or sells.
!
Service Mark - a mark used in connection with services applicant provides.
!
Combined Service/Trademark - a mark applied to goods and used in connection with services provided by the
applicant.
!
Certification Mark - a mark used by an organization to certify the characteristics of goods or services provided by
others.
!
Collective Mark - a mark used by members of a collective organization in connection with goods or services to
indicate membership.

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