Office of the Secretary of State
Corporations Section
P.O. Box 13697
Austin, Texas 78711-3697
APPLICATION FOR REGISTRATION
OF TRADEMARK OR SERVICE MARK
The undersigned applicant has adopted and used, and is now using, a certain trademark or
service mark in Texas and hereby makes application for registration of such mark, in
accordance with Chapter 16 of the Texas Business & Commerce Code.
1.
Applicant:__________________________________________________________________
2.
Address:___________________________________________________________________
City: ________________________ State:______________
Zip:___________________
3.
Applicant is incorporated or organized as a _____________________________________
and is incorporated or organized under the laws of _______________________________
4.
(a) Describe the mark (words and/or design) SHOWN ON THE ATTACHED
DRAWING SHEET:
___________________________________________________________________________
___________________________________________________________________________
(b) Disclaimer: Without waiving any right at common law, no claim is made to the
exclusive right to use _____________________________________________________
apart from the mark as shown. (A disclaimer is used to disclaim unregistrable parts of a
mark. See instruction 4(b).)
5.
Description of goods or services in connection with which the mark is being used: (BE
SPECIFIC)
___________________________________________________________________________
___________________________________________________________________________
_____________________________________________________________________________________________________