Delaware Division of Corporations 401 Federal Street – Suite 4 Dover, DE 19901 Phone: 302-739-3073 Fax: 302-739-3812 TRADEMARK AND/OR SERVICE MARK Dear Sir or Madam: As requested, enclosed is a blank form of Application for Registration of Trademark and/or Service Mark. The fee for filing the application is $25.00, and the fee for the Certificate of Registration, which will be issued by the Secretary of State, is $10.00. Please make check, in the amount of $35.00, payable to the "Delaware Secretary of State." Registration of a mark under the provisions of the Delaware Code shall remain effective for a term of ten years from the date of registration, unless otherwise canceled. Upon application filed within six months prior to the expiration of such term, the registration may be renewed for another ten-year period. The proper Application for Renewal of Registration of Trademark or Service Mark will be furnished by the Division of Corporations. It is necessary that a specimen or facsimile of the mark, in DUPLICATE, accompany the Application for Registration, one of which will be attached to the Application for filing in this Department, and the other will be attached to the Certificate of Registration issued by the Secretary of State and returned to the applicant. In order to properly and efficiently process your documents, please prepare them using black ink. If you have any questions or concerns regarding the registration of the mark, feel free to contact our office. Please return all items to the attention of TRADEMARK FILINGS. Sincerely, Department of State Division of Corporations Special Instructions – Application for Registration of Trademark/Service Mark This form is to be used as a Template only. The following instructions will help you in correctly completing your Registration Application. The instructions will be numbered to correspond with the article it is referencing. 1. The name of the applicant that owns the Mark. 2. List the complete business address of the owner of the Mark. 3. List whether the applicant is an individual or if it is a business entity, the type of entity. 4. State of formation for business entities. 5. (a) A complete description of the Mark as it will be listed on the records of the Division of Corporations. (b) The goods or services used in connection with the Mark. (c) The mode or manner of use for the Mark as it relates to the goods or services listed in 5(b). (d) The classification number and name of the goods or services as registered with the Secretary of State. 6. (a) The date the Mark was first used anywhere; the month and year must be listed. (b) The date the Mark was first used in the State of Delaware; the month and year must be listed. Please feel free to call our office at 302-739-3073 for assistance in completing this form. Sincerely, Delaware Division of Corporations State of Delaware Application for Registration of Trademark or Service Mark 1. Name of Applicant: 2. Business Address: Zip code: 3. State whether applicant is an individual, partnership, limited liability company, corporation, union, association or other organization: 4. If a business entity, list the State of Formation: 5. TRADEMARK or SERVICE MARK:(Specify filing type*) (a) Please describe mark in detail: (b) Goods or services in connection with which the mark is used: (c) Mode or manner in which the mark is used in connection with such goods or services: (d) Class in which such goods or services fall: No. Name of class: 6. Date of first use of mark by applicant or predecessor: (a) Anywhere: (b) In Delaware: Signature of Applicant Official Capacity *PLEASE SEND A SPECIMEN OR FACSIMILE OF MARK IN DUPLICATE STATE OF _______________________ SS: COUNTY OF _____________________ _______________________________________________, being duly sworn, deposes and says that he is ___________________________________________________, of the afore named applicant, that the statements contained in the foregoing statement are true and that he verily believes that said applicant is the owner of the mark sought to be registered and that no other person has the right in the State of Delaware to use such mark either in the identical form thereof or in such resemblance thereto, as might be calculated to deceive or to be mistaken therefor. __________________________ SIGNATURE OF APPLICANT Subscribed and sworn to before me this _________________ day of___________________, 20____. __________________________ Notary Public NOTARY SEAL Classifications Trademarks CLASS 1 (Chemicals) CLASS 2 (Paints) CLASS 3 (Cosmetics and cleaning preparations) CLASS 4 (Lubricants and fuels) CLASS 5 (Pharmaceuticals) CLASS 6 (Metal goods) CLASS 7 (Machinery) CLASS 8 (Hand tools) CLASS 9 (Electrical and scientific apparatus) CLASS 10 (Medical apparatus) CLASS 11 (Environmental control apparatus) CLASS 12 (Vehicles) CLASS 13 (Firearms) CLASS 14 (Jewelry) CLASS 15 (Musical Instruments) CLASS 16 (Paper goods and printed matter) CLASS 17 (Rubber goods) CLASS 18 (Leather goods) CLASS 19 (Nonmetallic building materials) CLASS 20 (Furniture and articles not otherwise classified) CLASS 21 (Housewares and glass) CLASS 22 (Cordage and fibers) CLASS 23 (Yarns and threads) CLASS 24 (Fabrics) CLASS 25 (Clothing) CLASS 26 (Fancy goods) CLASS 27 (Floor coverings) CLASS 28 (Toys and sporting goods) CLASS 29 (Meats and processed foods) CLASS 30 (Staple foods) CLASS 31 (Natural agricultural products) CLASS 32 (Light beverages) CLASS 33 (Wine and spirits) CLASS 34 (Smokers' articles) SERVICE MARKS CLASS 35 (Advertising and business) CLASS 36 (Insurance and financial) CLASS 37 (Building construction and repair) CLASS 38 (Telecommunications) CLASS 39 (Transportation and storage) CLASS 40 (Treatment of materials) CLASS 41 (Education and entertainment) CLASS 42 (Computer, scientific & legal) CLASS 43 (Hotels and Restaurants) CLASS 44 (Medical, beauty & agricultural) CLASS 45 (Personal) CLASSIFICATIONS in Detail TRADEMARK 1. Chemicals used in industry, science and photography, as well as in agriculture, horticulture and forestry; unprocessed artificial resins; unprocessed plastics; manures; fire extinguishing compositions; tempering and soldering preparations; chemical substances for preserving foodstuffs; tanning substances; adhesives used in industry. 2. Paints, varnishes, lacquers; preservatives against rust and against deterioration of wood; colorants; mordants; raw natural resins; metals in foil and powder form for painters, decorators, printers and artists. 3. Bleaching preparations and other substances for laundry use; cleaning, polishing, scouring and abrasive preparations; soaps; perfumery, essential oils, cosmetics, hair lotions; dentifrices. 4. Industrial oils and greases; lubricants; dust absorbing, wetting and binding compositions; fuels (including motor spirit) and illuminants; candles, wicks. 5. Pharmaceutical, veterinary, and sanitary preparations; dietetic substances adapted for medical use, food for babies; plasters, materials for dressings; material for stopping teeth, dental wax; disinfectants; preparations for destroying vermin; fungicides, herbicides. 6. Common metals and their alloys; metal building materials; transportable buildings of metal; materials of metal for railway tracks; nonelectric cables and wires of common metal; ironmongery, small items of metal hardware; pipes and tubes of metal; safes; goods of common metal not included in other classes; ores. 7. Machines and machine tools; motors and engines (except for land vehicles); machine coupling and transmission components (except for land vehicles); agricultural implements other than hand-operated; incubators for eggs. 8. Hand tools and implements (hand-operated); cutlery; side arms; razors. 9. Scientific, nautical, surveying, electric, photographic, cinematographic, optical, weighing, measuring, signalling, checking (supervision), life-saving and teaching apparatus and instruments; apparatus for recording, transmission or reproduction of sound or images; magnetic data carriers, recording discs; automatic vending machines and mechanisms for coin operated apparatus; cash registers, calculating machines, data processing equipment and computers; fire extinguishing apparatus. 10. Surgical, medical, dental, and veterinary apparatus and instruments, artificial limbs, eyes, and teeth; orthopedic articles; suture materials. 11. Apparatus for lighting, heating, steam generating, cooking, refrigerating, drying, ventilating, water supply, and sanitary purposes. 12. Vehicles; apparatus for locomotion by land, air, or water. 13. Firearms; ammunition and projectiles; explosives; fireworks. 14. Precious metals and their alloys and goods in precious metals or coated therewith, not included in other classes; jewelry, precious stones; horological and chronometric instruments. 15. Musical instruments. 16. Paper, cardboard and goods made from these materials, not included in other classes; printed matter; bookbinding material; photographs; stationery; adhesives for stationery or household purposes; artists' materials; paint brushes; typewriters and office requisites (except furniture); instructional and teaching material (except apparatus); plastic materials for packaging (not included in other classes); playing cards; printers' type; printing blocks. 17. Rubber, gutta-percha, gum, asbestos, mica and goods made from these materials and not included in other classes; plastics in extruded form for use in manufacture; packing, stopping and insulating materials; flexible pipes, not of metal. 18. Leather and imitations of