The Appineers Trademark Form

Trademark

Name of Client

First Name

Last Name

Country of Citizenship

Not Applicable if trademark owner is a legal entity.

Name of Legal Entity

Please include the full name with LLC, L.L.C., Inc., etc.

State of Legal Entity

The state where the company was formed.

Will the Company be the Owner of the Trademark?

Yes

Not Applicable

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

App Description

Please provide a complete description that answers the following questions: What does the mobile app do? What is the purpose of the mobile app? This description should be similar to what would be included on the company's website.

App Classification

Ex: Computer software development in the field of mobile applications; Downloadable software in the nature of a mobile application; Online social networking services accessible by means of mobile applications.