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RNC Counsel's Office: Trademark Request

Title:*  
First Name:*  
Middle Name:*
Last Name:*  
Street Address:*  
Street Address (cont):
City:*  
State:*  
Zip:*  (ex. 01234)    
Email:*    
Phone:*  (ex. 123-456-7890)    
Fax:  (ex. 123-456-7890)  


Name or description of the trademark you are requesting to use:*   


On what items do you wish to use the trademark?:*   


If you wish to make commercial use of the trademark, please provide details of any marketing plans you have developed: