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preview or have any questions about this notice, please contact the
Trademark Assistance Center (TAC) at 1-800-786-9199 (select
option#1), Monday-Friday, 8:30 a.m. to 8 p.m., ET.
PTO-2309
Approved
for use through xx/xx/20xx. OMB 0651-0055
U.S. Patent and
Trademark Office; U.S. DEPARTMENT OF COMMERCE
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Paperwork Reduction Act of 1995, no persons are required to respond
to a collection of information unless it contains a valid OMB control
number
	
	
		
			 
			 
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			Surrender
			of Registration for Cancellation 
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			Use
			this option ONLY if
			a specific TEAS form does not already exist for the purpose of
			this filing. Please double-check all possible TEAS forms before
			attempting to proceed. 
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						WARNING: You're required to log back in after 30
						minutes of inactivity.
						This ensures the USPTO complies with mandatory
						federal information security standards and
						protects user information. After 25 minutes of inactivity, you
						will be prompted to continue your session. If you do not
						continue within 5 minutes, the session will end, you will be
						logged out of your USPTO.gov account, and you will lose any
						unsaved data in the form. Please have all of your information
						ready before you start. 
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						NOTE: You
						must complete any field/section preceded by the symbol "*". 
						WARNING: To
						use the global form successfully, please note these
						requirements: Do NOT use your browser's "BACK" or
						"FORWARD" buttons at any time to navigate through any
						form; instead, always use the navigational tools provided
						specifically at the bottom of the form pages. If you have
						installed anti-spam filters or software on your email service,
						please ensure that legitimate emails from TEAS@uspto.gov,
						are not falsely identified as spam or junk. 
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			* Serial/Registration/Reference
			Number 
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			Registration
			Number 
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			Mark 
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			Owner/Holder
			Information 
		 | 
		
			Email Address:  
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			Attorney
			Information 
		 | 
		
			Email Address:  
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Primary
			Email Address for Correspondence 
Warning: This
			is the email address currently of record in the USPTO database. If
			it is not the email address of either the appointed attorney, if
			any, otherwise the owner, it must be updated. 
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			Secondary
			Email Address(es) (Courtesy Copies) 
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Use
this form to update the information above. A current email address
must be provided for the trademark owner/holder and the appointed
attorney, if any. The Primary
Email Address for Correspondence is
the email address of the attorney, if appointed, if not, the
trademark owner/holder. This is the official address for receiving
communications from the USPTO. Courtesy email addresses may be
provided within this form.
Is
a newly
appearing U.S.-licensed attorney filing
this form or do you need to update the bar information, email
address, street address, phone or fax number for an already appointed
attorney?
Foreign-domiciled
owners/holders must
have a U.S.-licensed attorney represent
them before the USPTO in any application-or registration-related
filing. Information
about hiring a U.S.-licensed attorney can
be found on the USPTO website.
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 Yes 
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 No 
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* Text
Entry/File Upload
	
	
	
	
		
			 
			 
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NOTE: For additional
			information on how to use the free-text entry box, click
			here. 
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SPECIAL
FORM INSTRUCTIONS: You must provide
the following as part of this submission: (1) a specific statement,
signed by the owner/holder of the registration, indicating either
that the registration is being surrendered in its entirety or
specifying the class(es) to be surrendered; and (2) current contact
information for the correspondent, including mailing address and
telephone number. If appropriate, please use the TEAS Change
Address or Representation Form to expedite
processing.
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Text
Entry
	
	
	
	
		
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AND/OR
File
Upload
	
	
	
	
		
			 
			 
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			WARNING: The
			file MUST be in JPG/PDF format (not exceeding 5 megabytes per
			attachment for JPG or 30 megabytes per attachment for PDF) or
			.WAV, .WMV, .WMA, .MP3, .MPG, or .AVI format (not exceeding 5
			megabytes for sound files or 30 megabytes for motion files). 
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										Uploaded
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										Name 
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				Owner
				Information 
				Instructions: 
Update
				the mailing address, if needed.
				The address entered on this page is publicly viewable in the
				USPTO's TSDR database
				and is presumed to be the owner's/holder's domicile. 
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				Owner
				Name 
			 | 
			
				 
				 
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				Internal
				Address 
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				* Mailing
				Address 
(Entered
				address is publicly viewable in the USPTO's TSDR database.
				This address must be capable of receiving mail and may be your
				street address, a P.O. box, or a "care of" address.) 
			 | 
			
				 
 
NOTE: You
				must limit your entry here, and for all remaining fields within
				this overall section (except City, see below), to no more than 40
				characters (the storage limit for the USPTO database). You may
				need to abbreviate some words, e.g., St. instead of Street.
				Failure to do so may result in an undeliverable address, due to
				truncation at the 40 character limit. 
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				* City 
			 | 
			
				 
 
NOTE: You
				must limit your entry here to no more than 22 characters. 
			 | 
		
		
			
				* State 
(Required
				for U.S. owners/holders) 
			 | 
			
				 
 
NOTE: You
				must include as part of the "City" entry any
				information related to geographical regions (e.g., provinces) not
				found in the dropdown lists for "States" or
				"Countries." Enter the city and then the geographical
				region, separated by a comma (e.g., Toronto, Ontario). In most
				instances, you will then also have to select the country within
				which the region is found, below. 
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				* Country/Region/Jurisdiction/U.S.
				Territory 
			 | 
			
				 
 
			 | 
		
		
			
				* Zip/Postal
				Code 
(Required for
				U.S. and certain international addresses) 
			 | 
			
				 
 
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				Domicile
				Address 
(Entered
				address is not publicly viewable in the USPTO's TSDR database
				unless it is the same as the mailing address. If your mailing
				address is not your domicile, you must enter the number, street,
				city, state, country or U.S. territory, and if applicable,
				zip/postal code of your domicile address.
				In most cases, a P.O. box, "care of" address, or
				similar variation is not acceptable as a domicile address.) 
			 | 
			
				 
 Uncheck
				this box if the Domicile Address and mailing address of the
				applicant owner/holder are NOT the same. 
 
 
Indicate
				place you reside and intend to be your principal home (for
				individual) or your principal place of business (for entity). 
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				Phone
				Number 
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			 | 
		
		
			
				Fax
				Number 
			 | 
			
				 
 
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				* Email
				Address 
Confirm
				that the email address is correct before continuing. The owner
				email address is not publicly viewable in the
				USPTO's TSDR database. 
			 | 
			
				 
 
The
				owner/holder is required to provide an email address and keep
				that address current. If the owner/holder is represented by a
				U.S.-licensed attorney, only the attorney's email address will be
				used for correspondence by the USPTO. 
				NOTE: The
				owner/holder or the owner's/holder's attorney acknowledges that
				he or she is solely responsible for receiving USPTO emails.
				Additionally, the owner/holder or the owner's/holder's attorney
				is responsible for periodically checking the status of the
				application/registration using the Trademark
				Status & Document Retrieval (TSDR) system.
				USPTO notices and office actions issued in this
				application/registration can be viewed online using TSDR.
				The USPTO is not responsible for any failure to receive a
				USPTO-issued email due to the receiver's security or anti-spam
				software, or any problems with the receiver's email system. 
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				Attorney
				Information 
				 
Tip: Updating
				the attorney information will NOT result in an update to the
				Domestic Representative information, if one is appointed. Use
				the Change
				Address or Representation form
				to update the address(es) of the Domestic Representative. 
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				Attorney
				Name 
			 | 
			
				 
				 
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				Individual
				Attorney Docket/Reference Number 
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				* Bar
				Membership 
			 | 
			
				* Year
				of Admission  
				 
 
				
				 
 
				
				* U.S.
				State/Commonwealth/Territory 
				
				 
 
				
				 
 
				
				* Membership
				Number  
 
 
You
				must enter "N/A" or a membership/registration number if
				your U.S. state, commonwealth, or territory issues one. This
				number is not viewable in TSDR. 
 
You
				must limit your entry here to no more than 40 alphanumeric
				characters. 
				
				 
 
				 
 * The
				attorney of record is an active member in good standing of the
				bar of the highest court of a U.S. state, the District of
				Columbia, or any U.S. Commonwealth or territory. 
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				Other
				Appointed Attorney(s) 
				Recognized
				Canadian Attorney/Agent 
			 | 
			
				 
 
				 
 
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				Firm
				Name 
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				Internal
				Address 
			 | 
			
				 
 
			 | 
		
		
			
				* Street
				Address 
			 | 
			
				 
 
NOTE:You
				must limit your entry here, and for all remaining fields within
				this overall section (except City, see below), to no more than 40
				characters (the storage limit for the USPTO database). You may
				need to abbreviate some words, e.g., St. instead of Street.
				Failure to do so may result in an undeliverable address, due to
				truncation at the 40 character limit. 
			 | 
		
		
			
				* City 
			 | 
			
				 
 
NOTE: You
				must limit your entry here to no more than 22 characters. 
			 | 
		
		
			
				* State 
(Required
				for U.S. addresses) 
			 | 
			
				 
 
NOTE: You
				must include as part of the "City" entry any
				information related to geographical regions (e.g., provinces) not
				found in the dropdown lists for "States" or
				"Countries." Enter the city and then the geographical
				region, separated by a comma (e.g., Toronto, Ontario). In most
				instances, you will then also have to select the country within
				which the region is found, below. 
			 | 
		
		
			
				* Country/Region/Jurisdiction/U.S.
				Territory 
			 | 
			
				 
 
			 | 
		
		
			
				* Zip/Postal
				Code 
(Required for
				U.S. and certain international addresses) 
			 | 
			
				 
 
			 | 
		
		
			
				Phone
				Number 
			 | 
			
				 
 
			 | 
		
		
			
				Fax
				Number 
			 | 
			
				 
 
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				* Email
				Address 
			 | 
			
				 
 
				
				The
				appointed attorney's email address must be provided and kept
				current with the USPTO. 
				NOTE: The
				owner/holder or the owner's/holder's attorney acknowledges that
				he or she is solely responsible for receiving USPTO emails.
				Additionally, the owner/holder or the owner's/holder's attorney
				is responsible for periodically checking the status of the
				application/registration using the Trademark
				Status & Document Retrieval (TSDR) system.
				USPTO notices and office actions issued in this
				application/registration can be viewed online using TSDR.
				The USPTO is not responsible for any failure to receive a
				USPTO-issued email due to the receiver's security or anti-spam
				software, or any problems with the receiver's email system. 
			 | 
		
	
 
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				Correspondence
				Information 
				 
 To
				make changes to the Primary Email Address for
				Correspondence below, either 
				
					return
					to the Owner Information section (if no attorney has been
					appointed) and enter the change, or 
					use
					the Attorney Information section of the form to enter the change
					(if an attorney has been appointed). 
				 
			 | 
		
		
			
				Name 
			 | 
			
				 
				 
			 | 
		
		
			
				Email
				Address 
			 | 
			
				Primary Email Address
				for Correspondence : 
 
				 
				Secondary
				Email Address(es) (Courtesy Copies) : 
 
 
Enter
				up to 4 addresses, separated by either a semicolon or
				a comma. 
 
Only the Primary Email Address
				for Correspondence is used for official communication by the
				USPTO. If an attorney has been appointed, the USPTO will
				correspond ONLY with the appointed attorney; otherwise the USPTO
				will correspond with the owner/holder. The owner/holder or the
				attorney must keep this email address current with the
				USPTO. 
NOTE: I understand that (1) a valid email
				address must be maintained by the owner/holder and the
				owner's/holder's attorney, if appointed, for correspondence and
				(2) all official trademark correspondence must be submitted via
				the Trademark Electronic Application System (TEAS). 
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						To pay a fee for any of
						the items that may be listed below in the "Additional
						Fees" portion, use the pulldown menu in the "Multiplier"
						column to "activate" that fee choice. Repeat as
						necessary. The "Overall Total Amount" will reflect
						all selected "Additional Fees," along with any
						"Required Fees," if specifically so designated in the
						form. 
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							Required
							Fees 
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							Fee
							Information 
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							Per 
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							Multiplier 
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							Fee 
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							Total 
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							Required Fees 
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							Required
							Fees Total 
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							$0 
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							Additional
							Fees 
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							Fee
							Information 
						 | 
						
							Per 
						 | 
						
							Multiplier 
						 | 
						
							Fee 
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							Total 
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							No
							Additional Fees 
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							Additional
							Fees Total 
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							$0 
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									To electronically
									sign this document, enter any alpha/numeric characters
									(letters/numbers) of your choosing, preceded and
									followed by the forward slash (/) symbol. Most signatories
									enter their name between the two forward slashes; examples
									of acceptable "signatures" include: /john doe/;
									/jd/; or /123-4567/. 
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									SUBMISSION
									SIGNATURE 
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																		 | 
																	 
																	
																		
																			
																				
																				
Click to choose
ONE signature
method : 
 
 
 
 
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Sign
electronically directly on this form 
Email
Text Form to second party for electronic signature 
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*You must click one of
the three buttons below to confirm that you are legally authorized to
sign this form based on the trademark rules governing representation
of others before the USPTO. 
 
If you have a U.S.-licensed
attorney representing you in this application, only your attorney
can sign this form. 
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Owner/Holder who is not
represented by an attorney (pro se): 
 I
hereby confirm that 
I
am not represented by an attorney in this matter, and am either: (1)
the owner(s)/holder(s); or (2) a person or person(s) with legal
authority to bind the owner(s)/holder(s); and 
If
I had previously been represented by an attorney in this matter,
either I revoked their power of attorney by filing a signed
revocation with the USPTO or the USPTO has granted this attorney's
withdrawal request. 
 
ADVISORY: Click
the above first button only if you are the owner(s)/holder(s) or
legally authorized to bind the owner(s)/holder(s); such as an officer
of the owner/holder corporation or association, or a general partner
of the owner/holder partnership. 
 | 
 
| 
  
 
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Authorized U.S.-Licensed
Attorney: 
I
hereby confirm that 
I
am an attorney who is an active member in good standing of the bar of
the highest court of a U.S. state (including the District of Columbia
and any U.S. Commonwealth or territory); 
I am
currently the owner's/holder's attorney or an associate thereof; 
To the
best of my knowledge, if prior to my appointment another
U.S.-licensed attorney not currently associated with my
company/firm previously represented the
owner/holder in this matter: 
the
owner/holder has revoked their power of attorney by filing a signed
revocation or substitute power of attorney with the USPTO; 
the
USPTO has granted that attorney's withdrawal request; 
the
owner/holder has filed a power of attorney appointing me in this
matter; or 
the
owner's/holder's appointed U.S.-licensed attorney has filed a power
of attorney appointing me as an associate attorney in this matter. 
 
 
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| 
  
 
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Authorized Canadian
Trademark Attorney/Agent: 
I
hereby confirm that 
An
authorized U.S.-licensed attorney has been appointed to represent the
owner; 
I have
been granted reciprocal recognition under 37 C.F.R. §11.14(c)(1)
by the USPTO's Office of Enrollment and Discipline; and 
I
am an authorized signatory based on 37 C.F.R. §11.14(c)(2). 
 
 
ADVISORY: Foreign
attorneys (other than authorized Canadian attorneys/agents) may not
sign responses and are prohibited from representing an owner/holder
before the USPTO in trademark matters. 
 | 
 
 
 
 
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* Signature 
 | 
 Examples
of acceptable "signatures" include: /john doe/; /jd/; or
/123-4567/. 
NOTE: Must
be personally signed by the individual listed in the Signatory's Name
field. 37
C.F.R. §2.193(a). The
person signing may not enter someone else's signature.  
 
 | 
* Date
Signed 
 | 
  
 (MM/DD/YYYY) 
 | 
 
* Signatory's
Name 
 | 
  
 
 | 
 
* Signatory's
Position 
 | 
 Enter
appropriate title or nature of relationship to the owner/holder. 
 
If
the signer is 
- An individual
owner/holder, enter "Owner"
or "Holder" as appropriate. 
- Joint
individual owners/holders, enter
"Owners" or "Holders" as appropriate (all must
sign this form). 
- A business
entity authorized signatory,
enter official title; e.g., "President" (if a
corporation),"General Partner" (if a partnership), or
"Principal" (if a limited liability company). 
- A
U.S.-licensed attorney,
enter "Attorney of record," and if not specified in the
application or prior communications, specify at least one state bar
admission, e.g., "Attorney of record, New York Bar member."
Also, if the signing attorney is from the same U.S. firm as the
attorney of record, but was not listed in the original filing and is
not otherwise of record, also include law firm name, e.g., Associate
Attorney, Smith, Jones & Davis, Virginia Bar member. 
 
 
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Signatory's Phone Number 
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			STEP
			1: Review the data in
			various formats, by clicking on the phrases under Data. Use the
			print function within your browser to print these pages for your
			own records. 
Note: It
			is important that you review this information for accuracy and
			completeness now. Corrections after submission may not be
			permissible, thereby possibly affecting your legal
			rights. 
Note: If
			you are using the e-signature approach or the handwritten
			pen-and-ink signature approach, you must click on the final link
			to access the specific "text form" for that purpose. 
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 STEP
			2: If any of the information
			is incorrect, click on the "Go Back to Modify" button,
			bottom below, to make changes and then re-validate the form. If no
			errors are present and you are ready to file, click on the Submit
			button, which if a fee is required will bring up a screen for you
			to enter the appropriate payment information. After successful
			entry of the payment information, you can complete the submission
			to the USPTO. Or, use the "Save Form" button to save
			your form. 
		 | 
	
	
		
			 
 STEP
			3: If there are no errors
			and you are ready to file, confirm the Primary
			Email Address for Correspondence,
			displayed below. To make changes to this email address, use the
			navigation buttons below to return to the appropriate page in the
			form and update either the attorney's email address, if appointed,
			or the applicant owner's/holder's email address. Courtesy
			copies are also permitted
			and these email address(es) are displayed below. To update these
			addresses, use the navigation buttons below to return to the
			Correspondence Information page and enter the changes. 
			After
			you submit the form, the USPTO will send an acknowledgment of
			receipt to the following email address(es): 
			
				
					
					
						
							
								
								
								
									
										Primary Email
										Address for Correspondence 
									 | 
									
										 
										 
									 | 
								 
								
									
										Secondary Email
										Address(es) (Courtesy Copies) 
									 | 
									
										 
										 
									 | 
								 
							 
							 
							 
						 | 
					 
				 
			
			 
			 
		 | 
	
	
		
			 
 STEP
			4: Read and check the
			following: 
			
				
					
					
						
							
								
								
									
										Important
										Notice: 
									 | 
								 
								
									
										Please note
										that: 
(1) If a fee was required, once you submit this
										form, we will not refund the fee, because it is a
										processing fee for our substantive review. 
(2) All
										information you submit to the USPTO at any point in the
										application and/or registration process will become public
										record, including your name, phone number, email address,
										and street address. By filing this document, you
										acknowledge and agree that YOU HAVE NO RIGHT TO
										CONFIDENTIALITY in the information disclosed. The
										public will be able to view this information in the USPTO's
										on-line databases and through internet search engines and
										other on-line databases. This information will remain
										public even if the application is abandoned or any
										registration is surrendered, cancelled, or expired. To
										maintain confidentiality of banking or credit card
										information, only enter payment information in the secure
										portion of the site after validating your form. For any
										information that may be subject to copyright protection, by
										submitting it to the USPTO, the filer is representing that
										he or she has the authority to grant, and is granting, the
										USPTO permission to make the information available in its
										on-line database and in copies of the application or
										registration record. 
(3) Private
										companies not associated with the USPTO
										often use trademark application and registration
										information from the USPTO's databases to mail
										or email trademark-related solicitations (samples
										of non-USPTO solicitations included). 
 
 
 
 If
										you have read and understand the above notice, please check
										the box before you click on the Submit button. 
									 | 
								 
							 
							 
							 
						 | 
					 
				 
			
			 
			 
		 | 
	
	
		
			 
 STEP
			5: To save the form data,
			first enter the email address to be used for this specific
			purpose: 
 
 
			 
			
				
					
					
						
							
								
								
								
									
										 Email
										for save form function: 
(required
										if using Save Form) 
									 | 
									
										 
 
									 | 
								 
								
									
										Please re-enter
										your email address(es) here: 
									 | 
								 
								
									
										 Email
										for save form function: 
(required
										if using Save Form) 
									 | 
									
										 
 
									 | 
								 
							 
							 
							 
						 | 
					 
				 
			
			 
Then,
			click on the "Save Form" button at the bottom of this
			page for delivery of an email to the address listed above. To
			begin the filing process with saved data, click the "Restore"
			link that you will see within the delivered email. 
WARNING: The
			saved form will reside on the USPTO Server, 
but
			only for two (2) weeks.
			After that point, you will not be able to re-access any saved
			form, and must begin a new form. 
		 | 
	
	
		
			 
 STEP
			6: If you are ready to file
			electronically: 
Click on the Submit button, below, to access
			the site where you will select one of three possible payment
			methods. After successful entry of payment information, you can
			complete the submission to the USPTO. A valid transaction will
			result in a screen that says SUCCESS! Also,
			we will send an email acknowledgment within 24
			hours. 
WARNING: Click
			on the Submit button below ONLY if
			you are now entirely prepared to complete the Submit process.
			After clicking the button, you can NOT return
			to the form, since you will have left the TEAS site entirely. Once
			in the separate payment site, you must complete the Submit process
			within 30 minutes. If you are not prepared to complete the process
			now, you should select the "Save Form" option to save
			your form, and then complete the Submit process later. Or, if you
			have discovered any error, use the "Go Back to Modify"
			button to make a correction. 
WARNING: You
			can NOT make
			any fee payments by credit
			card from 2 a.m. to 6 a.m.
			Sunday, Eastern Time. To file during this specific period,
			you must use
			either the deposit account or electronic funds transfer payment
			method; or, you may use the "Save Form" option to save
			your form, and then complete the Submit process at a later time
			with the credit card payment option. 
		 | 
	
PRA
Burden Statement
A
Federal agency may not conduct or sponsor, and a person is not
required to respond to, nor shall a person be subject to a penalty
for failure to comply with an information collection subject to the
requirements of the Paperwork Reduction Act of 1995, unless the
information collection has a valid OMB Control Number. The OMB
Control Number for this information collection is 0651-0055. Public
burden for this form is estimated to average 10 minutes per response,
including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and
completing and reviewing the information collection. Send comments
regarding this burden estimate or any other aspect of this
information collection, including suggestions for reducing this
burden to the Office of the Chief Administrative Officer, United
States Patent and Trademark Office, P.O. Box 1450, Alexandria, VA
22313-1450 or email InformationCollection@uspto.gov.
Privacy
Act Statement
The USPTO
collects this information under authority of 35 U.S.C. 2(b)(2). The
information you provide will be used to process your applications and
submissions related to trademark registration. The information in
this system of records is used to manage name, citizenship, domicile,
email address, postal address, and telephone number of the trademark
applicant, registrant, and applicant’s or registrant’s
legal or other authorized representative(s), an attorney’s law
firm or company affiliation and professional licensing information,
and other information pertaining to an applicant’s or
registrant’s activities in connection with the applied-for or
registered mark. The information is protected from disclosure to
third parties in accordance with the Privacy Act. However, routine
uses of this information may include disclosure to the following: the
public; certain foreign entities, professional organizations or
associations, audit or oversight controls; law enforcement;
non-federal personnel working for the agency; record and
informational inquiries; coordinators of data breach response;
litigation actions; Department of Justice; Office of Personnel
Management; Congressional inquiries; the National Archives and
Records Administration; and Office of Management and Budget. If you
do not furnish the requested information, the U.S. Patent and
Trademark Office may not be able to process and/or examine your
submission, which may result in termination of proceedings or
abandonment of the application for trademark registration. The
applicable Privacy Act System of Records Notice for this information
request is COMMERCE/USPTO-26, Trademarks Application and Registration
Records: Federal Register vol. 85 February 18, 2020, p 8847,
available at https://
www.govinfo.gov/content/pkg/FR-2020-02-18/pdf/2020-03068.pdf.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Smalls, Jonya | 
| File Modified | 0000-00-00 | 
| File Created | 2025-01-13 |