Name(s) to be searched or registered- (circle one) For International costs please call for a complete quotation. This does not include the USPTO $325 filing fee. 1. _____________________________________ 2. _____________________________________ 3. _____________________________________ 4. _____________________________________ 5. _____________________________________ 6. _____________________________________ 7. _____________________________________ 8. _____________________________________ 9. _____________________________________ 10. _____________________________________ 10% DISCOUNT FOR 10 OR MORE (USA only) Company Name _____________________________________ Your Name ______________________________________ Name as it appears on credit card _________________________________ Address as it appears on your billing statement. Street _________________________________ City__________________ State/Province __________ Zip/Postal Code ___________ Country ___________ Visa - Mastercard - Amex - Discover (circle one) Card # __________________________________________ Exp. _______________ E-mail address _________________________ Phone Number _________________________ Signature ________________________ Just print and fill out and fax to 1-505-247-4610 You will have your results within 24 hours via e-mail (some restrictions apply) Because our work starts immediately, MR. TRADEMARK INC. accepts cancellation (in writing only) only up to 2 hours after receipt of request. Otherwise no refunds are given. *($125 for international customers or those with no e-mail access) WE DO NOT GIVE LEGAL ADVICE. Mr. Trademark MAIL: PO Box 507 COURIER: 1101 Tijeras Ave NW Albuquerque, NM 87102