SWEEP™

Order Form

1. Trademark to be searched:

2. Country to be searched:
USA  Canada  EEC

3. Describe the goods or services represented by your TM:

4. Indicate English equivalent of any foreign language mark:

5. Indicate the following contact information:

First Name:
Last Name:
Company/Firm:
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
Email:
Comments? Special Instructions?

6. Payment Terms
Please send your certified check or money order in the amount of US$250 by courier made payable to:

"Trademark Protection Services"

At the following address:

114 Crichton Street
Ottawa, Ontario, Canada
K1M 1V9

Processing will begin upon receipt of payment.

Check here to accept the User Agreement.


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