Canadian Order Form

Please complete this order form to request us to arrange preparation of a Canadian TM application on your behalf. You will be contacted if any further information is required.

Contact Information
(Individual instructing us)

First Name:
Last Name:
Address 1:
Address 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
Email:


Applicant Information
(Owner of TM)
Name:
Entity Type: Click on the one appropriate circle to indicate the applicant's entity type and enter the corresponding information.
Individual Country of Citizenship
Corporation Place of Incorporation
Partnership Place Where Organized
Name and Citizenship of all General Partners

Fill in applicant name and address if different from the contact information above, or else leave it blank:
First Name:
Last Name:
Address 1:
Address 2:
City:
State/Province:
Zip/Postal Code:
Country:

Trade Mark Information

Indicate if the TM is a typed word or a stylized mark or design i.e. logo:
Typed word Stylized mark or design

Mark:

If stylized, enter literal element of mark, if any. You must email a gif or jpg image of the mark to us at info@TrademarkProtectionServices.com.

If the mark is in a foreign language, indiciate the English translation or transliteration:

Describe the goods and/or services:

Note that there is no limitation on the goods and/or services to be included on a single application.

Indicate the basis of your filing:
 Actual use or Intent to use or
Making known in Canada

Indicate the date the mark was first used in Canada:
(e.g. July 1, 2008)

Indicate if you are claiming a priority based upon:

Foreign Application or Foreign Registration
Country:
 Country:
Filing Date:
Registration Date:
Serial Number:
Registration Number:

Special instructions or inquiries:

Payment Terms
I acknowledge and agree that registration of my trademark is not guaranteed by the filing of this application. The fee paid does not cover any services that may be required should a trademark opposition be encountered nor does it include additional government fees, if any.

Please send your certified check or money order for CDN$1,050 by courier made payable to:

"Trademark Protection Services"

At the following address:

27 Beechwood Avenue

Suite 329
Ottawa, Ontario, Canada
K1M 1M2

Processing will begin upon receipt of payment.

Check here to accept the User Agreement.