Flat Fee Trademark Service Application

First Name*

Last Name*

Email Address*

Phone Number*

What is the precise mark (use exact spelling, spacing, punctuation, apostrophes, hyphens, etc...)*

Legal Owner of the mark*

Is your mark just words, or does it include a logo/design?*

If your mark is a design or logo, please email the artwork to pcassandra@givnerlawpc.com.

Owner Type*

Citizenship or State Where Organized*If Individual: Country of Citizenship.
If Business Entity: State in which it was organized.

Address of Individual/ Business*

Address Line for where Notices will be sent (if different than above)

To the best of your capability, please give a description of the type of product or service which will bear the mark:*(i.e. STARBUCKS will be “sales of coffee to consumers, coffee, coffee paraphernalia” and Jiffy Lube will be “oil change and mechanical services for consumers and their automobiles”

Please list any classes you would like to proceed (if known)

Are you using your mark now or are you intending to use it in the future?*

If actually using, please inform the earliest date any type of actual use of the mark was made

If your mark is based on actual use, we will be required to submit "proof" in the trademark application. Please list any websites, social media, or landing sites that show your mark. If you do not have an online presence, please email pictures or examples of your mark on actual goods, advertisements, or any other instance where you provide your services to pcassandra@givnerlawpc.com.

Terms and Conditions

Your Information is Confidential. We take your privacy seriously. Any information you provide—such as your name, contact details, or trademark-related data—is kept confidential. We won’t share it with anyone outside our team unless required by law. Our goal is to protect your information while we assist you with your trademark package.

No Attorney-Client Privilege is created. Submitting your information here does not create an attorney-client relationship between us. This means that, at this stage, we’re not officially your lawyers, and the legal protections of attorney-client privilege don’t apply yet. We’re just collecting details to get started. If you decide to move forward, we can discuss establishing that relationship later.

Payment Comes Next. After you submit your information, the next step will be to process your payment for the flat fee trademark package. You’ll see the payment details on the following page, and nothing will be charged until you complete that step.

By providing your information, you’re agreeing to these terms. If you have any questions, feel free to reach out before proceeding!I agree to the terms above

Total Due: $1500

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Flat Fee Package