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Supplemental Register Application
SUPPLEMENTAL REGISTER APPLICATION
REGISTRATION OF TRADEMARK IN THE UNITED STATES PATENT AND TRADEMARK OFFICE
Mark [Mark number]
Class Number [Class Number]
TO THE COMMISSIONER OF PATENTS AND TRADEMARKS:
[Appropriate identification of applicant]
The above identified applicant has adopted and is using the trademark shown in the accompanying drawing for [common, usual or ordinary name of product] and requests that such mark be registered in the United States Patent and Trademark Office on the Supplemental Register established by the Act of July 5, 1946.
The trademark was first used on the goods on [Date first used]; was first used in [Type of commerce] commerce on [Date first used in commerce]; and is now in use in such commerce.
The mark is used by applying it to [Manner of application, such as the goods or labels affixed to the product]. Five specimens showing the mark as actually used are presented herewith.
POWER OF ATTORNEY
Applicant hereby appoints [Names(s) of attorneys], of [Address of attorneys], [An attorney or attorneys at law or other title, such as: secretary of the applicant corporation] to prosecute this application to register, to transact all business in the Patent and Trademark Office in connection therewith, and to receive the certificate of registration.
Signature Date